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i'RiiSi.M' USE OF FROPEKTY <br />Present Zonina District <br />Present Use of Property ClTf Residential <br />_ _ _ _ _ _ _ Other (specify) <br />DESOaPTIONbOPr^QTOSTin td) 4LLpw ^ST^CT10>J A$> pgg. <br />PLA^M of <^UEST Hou S^ OO _________________ <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. <br />Certified Property Owners List of owners within 350' (you can obtai <br />list from Kennepxn County Department of Finance rt~603 Governmen <br />3 <br />4 <br />5 <br />6 <br />7 <br />if land <br />Center 348-3271). <br />Plat Mao. <br />Certificate of survey (signed by a licensed surveyor). <br />ToDographic survey (existing and proposed contours) <br />alterations involve changes in elevation (grades). <br />Construction plan/ if applicable (see staff for requiremenv,s). <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 OF LARGE DOCUMENTS OR <br />A WORKING COPY (11" X 17" OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. <br />mm ^m ^m mm mm ^m mm ^m ^m ^m mm ^m mm mm % m mm mm ^m ^m mmm ^m ^m ^m mm mm mm mm mm mm ^m mm ^m mm ^m mm ^m <br />The applicant and Property Owner must sign this application. Please <br />reme.mber 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 th^ best. o:^his/her knowdredge. <br />Applicant's signature JU)Jk Date <br />OWNERS SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further <br />authorited reasonable entry onto the property by City staff/ consultan s, <br />agentS/ commission members, and Council^ members for purposes or <br />investigation and verification,pf thj|Ls reques <br />Owner's signature Date lo/2o/^3___ <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Commission Meeting. Planning Commission Meetings are held e <br />third Monday of each month. Applicants must be present at all scheduled <br />review meetings of the Planning Commission and Council. If an applican <br />unable to attend a scheduled meeting, please make arrangements to nave_ an <br />authorized agent attend in your place and advise the Building & zoning <br />Office of this change prior to the meeting.