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Present Zoning District <br />Present Use of Property ^esidentTaT~> <br />Other (specify) <br />DESCRIPTION OP REQUEST <br /><3etail: 2 SL4~ lAA/^ btr'hc-^^AJ <br />T _ _C/2e^S7^C <br />Vo^nc,^ AA^Ac^ir~\r.' <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. <br />V 2.Property Owners List of owners within 350’ (vou can obtai <br />uhis list from Hennepin County Department of Finance A-6'03 Governmen <br />Center 348-3271). <br />^3. Plat .Map. <br />4 4,'^ Certificate of survey (signed by a licensed surveyor). <br />^^5. Topographic survey (existing and proposed contours) if land <br />invo_ve changes in elevation (grades). <br />6. Construction plan, if applicable (see staff for requirements). <br />7. As an addendum to this application, please attach a separate list of <br />any other persons you wish notified cf this application. <br />YOU are required to supply 30 COPIES OP LARGE DOCUMENTS OR <br />____A^WORKING COPY (li* X 17■ OR SMALLER) FOR ALL DOCUMENTS SUBMITTED, <br />3-^.. Property Owner must sign this application. Please <br />r^e.mber that yo^ application is not complete if the above information has <br />not been included. <br />D-partment that Land Use Apolication is ccmolete. <br />Initials of Cleiical 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 oy original fee payment) and/or unusual e.xpenses incurred <br />in review of this application, and certifies t.hat t.he information supplied <br />is true and correct to the best of his/her knowledge.knowledge <br />DateApplicant's signature <br />iO ^AjJQCtC^T erntmts 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 of this request. <br />Owwe^s^*'si^nature _ _ _ _ _ Date <br />Applicant must have all submlirSla inLo 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 Council. If an aoplicant is <br />unable to attend a scheduled meeting, please make arrangements‘to have an <br />agent attend in your place and advise the Building & Zoning <br />orrice of this change prior to the meeting.