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PRESENT DSS OP PROPERTY . <br />Present Soninc District sK * 1 tP <br />Present Use of Property C\'TS Residential <br />Other (specify}_ <br />DESCiaPTION OF REQUEST _ ^ ^ ^ . <br />Describe recuest in detail: *T<^ f Us To <br />/-/.ijmoft*; PGUf^rr coi ^structioa ___fefk FXAtj. PpgpyTY-WA.S <br />u,Y ~;u?r^gp^ rxigi ~tP ^sTt^gJE ai 4q pqzjn t r A <br />REQUIRED SUBMITTALS <br />1. Ccir.oleted Application Fom. _ . <br />Certified Property Owners List of owners within j 50* (you can obtai <br />this list fron Hennepin County Department of Finance A-603 Governmer. <br />Center 348-3271). <br />Plat Map. <br />Certificate of survey (signed by a licensed surveyor). <br />Topographic survey (existing and proposed contours) i^ land <br />alterations involve changes in elevation (grades). <br />Construction plan, if applicable (see staff for requ^remenuS). <br />As an addendum to this application, please attach a separate list of <br />anv other persons you wish notified of this application. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OP LARGE DOCUMENTS OR <br />A WORKING COPY (11" 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 net 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 t-he 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 tb 'th« best. o*^his/her know^d <br />Date l<?/Zo/l3Applicant's signature <br />OWNERS SIGNATURE ,r ,-u <br />The owner hereby acknowledges and agrees to this application and furtner <br />authorized reasonable entry onto the property by City staff, consultants, <br />agents, commission members, and Counci 1 members for purposes or <br />investigation and reques-^ <br />Owner's signature ^ <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Commission Meeting. Planning Commission Meetings are held tne <br />third 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 />Office of this change prior to the meeting. <br />^ Date _____