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,ftmteriii’mm i'S?--1■irr OF OfiDHD imOE OFFICE 'OiOOC a01 OEH 100.00 <br />: JL 100.00 <br />:EIP7-imK YOU <br />cool -Wi T15:04 <br />12/31,'SJ <br />mm.WJb •• •;'’ **>SM <br />\ <br />f<hi <br />& <br />4I <br />stland or <br />>r more <br />athin 75* <br />i) <br />mm • <br />M <br />: • - r'--»wfV:"'' V :iw <br />'i «• <br />:SmMmm % <br />= : A P ■ * <br />'T^fc .< ^ dvA : • .'?M:-! • . % *.• / ••••i**'y <br />-/CraK <br />'^':/: k/':-'r <br />, •''*. •' y- : .• <br />iBVT osB or PBOPBrrrPresent toning DistrictPresent Use of Prof>erty BesidentislOtKer (specify)DtBKXIPTIOH OP B«OlfPTDescribe request in detsilt <br />■IQOIBIK SOMITTALB <br />1. <br />2. <br />3. <br />4. <br />5. <br />C. <br />7. <br />t. <br />Cosq>leted Af^llcetion Pore. <br />Certified Property Owners List of owners within 350' (yon csn obtain <br />this list fro* Hennepin County Departaent of Pinsnce A»€Q3 Goeernaent <br />Center 34t>3271) <br />Stsaped, legal sited envelopes (#10) pre**addressed to each of the neaes <br />on the above list with no return address. <br />Certificate of survey. <br />Topographic survey (existing and proposed contoura) if lan4 <br />alterations involve changes in elevation (grades). <br />Construction plan, if af^licable (see staff for requirwsents). <br />Plat Map. <br />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 />rnnoahar that your application is not conplete if the above infomation has <br />not been Included. <br />Certification by Zoning Department that Land Use Application is complete. <br />Zoning Officials Signature _ _ _ _ _ _ _ _ Date <br />juppuaunr'8 SKaunTOBB <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 beat of his/her <br />knowledge. <br />Applicant's signature Date <br />OmiBRS SIGHATDRB <br />The owner hereby acknowledges and agrees to this application end 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 />Owner's signature Date <br />Applicant mast have all submittals into the City offices 25 days before the <br />Planning CcMrantssion Meeting. Planning Commission Meetings are held on the <br />third Monday of each month. Applicants must be present at all schedul;>d <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 />1