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f IS liliim-jmv‘i t - f.; ;■:.;V/23t'o 'lM»i' .1:orrens?r - . .* ,*. .' i;»T. ■ f ■. • wifij* <br />ncluded • fj t M I <br />. V'V <br />-L <br />V ‘. *rf u <br />ZLxyS'S'^ S' <br />Zip <br />nth/year) <br />nd. <br />stc.) <br />ignated wetland or <br />cu. yd. or. mors <br />ig walls within 75* <br />.tant fees) <br />Mill«l4>y>S''i:It <br />• 1 ^ ^. r <br />As, *. !..* • .. •“ <br />m^m <br />■■V) <br />■’i;:^- <br />iLy:. y\:‘-;V 'r <br />rw'r- <br />♦x"' .>'* <br />^ r.;. " <br />ife« vv-:;,v.ol8 <br />i':.'■■’vkwm <br />tmmL: .Si'/ • ;• *• 14^-.r*-® .4ft <br />»sV'' ■''-^K'.-* ■■'-^^ <br />■R v -•• <br />i 1 <br />Pipr■m <br />mm <br />P'-' '*-■feai <br />Sj^^V-v-p <br />■ • n V; -' ,:: <br />■:-\^yO::;;.vT;- <br />r <br />I I S?^ikV"?w 1^'- </ •!,■.-■H0JL.•y 7-.-::>:••;.;••-V«•.UtESBIT USE OF PR0PBST7Present Zoning District; • j Present Dse of Property ResidentialOther (specify)DSCRIPTZOB OF BEQOSSTDescribe request in detail: <br />' m, <br />■' ;v>^ - •- <br />■ ? <br />[yM <br />P^^ei#7 <br />BSC2UZRSD SDBMZRaLS <br />1. Completed Application Form. <br />** Property Owners List of owners within 350' (you can obtain <br />this list from Hennepin County Department of Finance A-603 Government Center 348-3271) ****»«iit <br />3. Stamped, legal sized envelopes (#10) pre-addressed to each of the names <br />on the above list with no return address. <br />4. Certificate of survey. <br />5. Topographic survey (existing and proposed contours) if land <br />alterations involve changes in elevation (grades). <br />S. Construction plan, if applicable (see staff for requirements). <br />7. Plat Map. <br />B. As an addendum to this application, please attach a separate list of <br />any other persons you wish notified of this application. <br />The ^plicant and Property Owner must sign this application. Please <br />reme^er that your application is not complete if the above Information has <br />not been included. <br />Certification by Zoning Department that Land Use Application is complete. <br />Zoning Officials Signature ________________________ Date <br />APPLZCABT'S SI6HAIDSS <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 t.hat <br />the information supplied is true and correct to the best of his/her Knowledge. . <br />Applicant's signature Date y/s-/<P9 <br />/omsas SI6HATHSB <br />The owner hereby acknowledges and agrees to this application and further <br />authorized reasonable entry onto the property by City staff, consultants, <br />commission members, and Council members for purposes of <br />investigation and verification of this request. <br />Owner's signature Date <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Commission Meeting. Pl2uming Commission Meetings are held on the <br />tnird 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 />* scheduled meeting, please make arrangements to have an <br />y'-yi:IS■ • v/v.■yV'-*-7^'v:Vs;'^wmmm:KfcffiW <br />-A <br />f-:. <br />: :y^. ^ p \/- <br />• •. • .m <br />■ ’• ■ •; -1 ■ ■ I • * ' <br />fP <br />a.-. <br />mmrny <br />sI'Sf-y ys* <br />k-yy^: : : ■ <br />lyyyS': ■’A <br />y -y'-r <br />y-;vit:yvy::y/: y-’ -y <br />■. P < ' <br />- ! V •;■:-y- r-: 'py <br />^■yjm <br />»■ ■ :• •.. ■•■ ■ V- • • <br />X!_- <br />■■V.y <br />t^ip-ypy <br />..• • V <br />.;i :V VJ-. <br />|yV"yy-:Kp: 1 <br />: ■■ ■■•'■■■■' , ■•: '■ <br />' ■■ -y .■• •...-. <br />- y-'‘y': .■•-•■ ■y.® <br />S'y .v.'yyy • • y- y ;.y ■ ■' ■ y ■ <br />V ..• <br />;tk >-.yy 7; ~ypyp'yy-titi <br />yy:Sy?;y^yyyyyr y -: w. <br />^ yyyyyfiS <br />€-:ypMm <br />.yi\r <br />an* <br />HUN DATS It/ ^ tATCM 010PROP AOOII ONNEfI NAfC TAXPAYER NAHE/AOORprop ADDR ONNER KAHE <br />TAXPAYER <br />*:hHE/A00R <br />PROP ADDR <br />3HNER tUHE <br />TAXPAYER <br />NAHE/AOOR <br />! .: <br />*... <br />PROP ADOR <br />OHNER KAHE <br />TAXPAYER <br />NAHE/AOOR <br />PROP ADOR <br />ONNER NAME <br />TAXPAYER <br />NAHE/AOOR <br />P^y--y-y:vN-x^\yyjy ‘:: <br />I ^pyyym-y:y <br />■■■:> ■ <br />^•yy:. • <br />'••V. ■ ’f\y <br />a ‘ii\. ■• '. •* <br />■ >■■ ’a