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vaiamtf ost urPresent Zoning District Present Use of Property See attached 1/a Section naps_ _ _ ResidentialOther (specify)DBSCmimOB OF RBQOBST®**c*"ibe request in uetailt Request construction and/or replacowent <br />of existing sewage lift stations and sanitary sew^-rt.. <br />^ ■ II II ■ . . . . . . . . . .I I II <br />HrZRBD S0BI«1*'^AL8 ** <br />Ccnpleted Application Fons. <br />^**^^^^^**^ Property Ovners List of owners within 350' (yon can obtain <br />this list fro* Hennepin County Departnent of Finance A-SOJ Governisent <br />Center 348-3271) <br />Steeped, legal sized envel^»ea (fio) pro—addressed to each of the nanes <br />on the above list with no return address. <br />Certificate of survey. <br />Topographic survey (existing and proposed contours) if land <br />alterations involve changes in elevation (grades). <br />Construction plan, if applicable (see staff for reoi Ircsienta). <br />Pl*t Map. <br />As an addendue to this application, please attach a aepaiate list of <br />any other persons you wish notified of this application. <br />The applicant and Proparty (Twner must sign thia application. Plaase <br />remember that your application is not complete if the above information ha® <br />not been included. <br />Certification by Zoning Department that Land Use Application is complete. <br />Zoning Officials Signature _ _ _ _ _ _ _ _ Date <br />APPLICAirr*8 6ICTATDRS <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 />OH11BRS SIGHATURB <br />The owner hereoy acknowledges and agrees to this application and 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 must have all 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 />advise the Building & ZoningOrrice of tnis change prior to the meeting.