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PRESENT DSE OP PROPERTY <br />Present Zoning District <br />Present Use of Property Residential <br />Other (specify) <br />DESCRIPTION OF REQUEST <br />Describe request in detail: <br />2. <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. <br />Certified Property Owners List of owners within 350' (you can obtain <br />this list from Hennepin County Department of Finance A-603 Government <br />Center 348-3271) <br />Stamped, legaI ^ sized envelopes (#10) pre-addressed to each of the names <br />on the above list with no return address. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />Certificate of survey. <br />Topographic survey (existing and proposed contours) if land <br />alterations involve changes in elevation (grades). <br />Construction plan, if applicable (see staff for requirements). <br />Plat Map. <br />As an addendum to this application, please attach a separate list of <br />any other persons you wish notified of this application. <br />The applicant and Property Owner must sign this application. Please <br />remember that your application is not complete if the above information has <br />not been included. <br />• i <br />Certification by Zoning Department that Land Use Application is complete. <br />Zoning Officials Signature Date <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide all information required or <br />requested by the Zoning Administrator, agrees to pay all fees and/or <br />unusual expenses incurred in review of this application, and certifies that <br />the information supplie^-—is true and correct to the best of his/her <br />)cnowledge . A/* y /Y7^^ ^ <br />Applicant's signature^>-</f _ _ _ _ _ _ _ _ _Date ^ <br />OWNERS SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further <br />authorized reasonable entry onto the property by City staff, consultants, <br />agents, commission m^m^bers, ajid Council members for purposes of <br />investigation and ver^f^^^ation <br />Owner's signature Date <br />15Z <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Commission Meeting, Planning Commission Meetings are held on the <br />third Monday of each month. Applicants must be present at all scheduled <br />review meetings of the Planning Commission and Cotncil. If an applicant is <br />unable to attend a scheduled meeting, please ma>e arrangements to have an <br />authorized agent attend in your place and advise the Building & Zoning <br />Office of this change prior to the meeting.