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'RESENT USE CF PROPERTY <br />Present Zcnino District <br />Present Use of Frorcrty _ _ _ Residential <br />Other (specify) <br />description op request <br />Describe request in detail: <br />A <br />Uc V ,f I ,N.» fv> t <br />I <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />REQUIRED SUBMITTALS <br />1. Completed Application Fonr., <br />Certified Property Owners List of owners within 350' (ycu can obta; <br />this list from Henneoin County Department of Finance A-603 Governme- <br />Center 2^5-3271). <br />Plat Map, <br />Certificate of survey (signed by a licensed surveyor). <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 />As an addendum to this application, please attach a separate list of <br />any other persons you wish notified of this application. <br />you ARE REQUIRED TO SUPPLY 30 COPIES OP LARGE DOCUMENTS OR <br />A WORKING COPY (ll* X 17" OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. <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 />Certification by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff: 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 additional fees (staff <br />time not covered by original fee payment) and/or unusual expenses incurred <br />in review of this application, and certifies that the information supplied <br />is true and correct to the/ljest of his/her knowledge. <br />Applicant's signature 3I 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 members, and Council members for purposes of <br />investigation and verification o^th4.s request. <br />Owner's signature 0\Date v/ <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 />Monday of each month. Applicants must be present at all scheduled <br />review meetings of the Planning Commission and Council. If an applicant is <br />unable to attend a scheduled meeting, please make arrangements to have an <br />authorized agent attend in your place and advise the Building & Zoning <br />Offxce of this change prior to the meeting.