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PRESENT USE OP PSOPERT? <br />Present Zoning District Lft IB <br />Present Dse of Property Residential <br />otner (specify) <br />DESCRIPTIOH OP REQUEST <br />Describe <br />REQUEST <br />request in detail: <br />_ju ivcrV- gL’ojmAf*— <br />REQUIRED SUBMITTRLS <br />1. Completed Application Form. <br />2. Certified Property Owners List of owners with'*n 350' (you can obtain <br />this list from Hennepin County Department of Finance A-603 Government <br />Center 348-3271) <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 />6. Construction plan, if applicable (see staff for requirements). <br />7. Plat Map. <br />8. . As an addendum to this application, please attach a separate list of <br />any other persons you wish notified of this application. <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 Zoning Department that Land Use Application is complete. <br />Zoning Officials Signature ___________________ Date_ _ _ _ _ _ _ _ _ <br />APPLZCAHT'S SI6IATURB <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 that <br />the information supplied is true and correct to the best of his/her <br />knowledge. <br />Applicant's signature*Date <br />OWBBRS 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 m'^mbers, and Council members for purposes of <br />investigation and verification of fail's ragiieinr.— <br />Owner's signature ^ ^ ^ ^ Date <br />Applicant must have a^ submittals into 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 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.