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V .J <br />■V' <br />•■Jf V <br />■f'* <br />f% <br />V.i4 ' <br />%■ ' • <br />I <br />^ I- ■. <br />r <br />k-.. '^‘r <br />^:i- <br />' V <br />-1: <br />■'S? <br />t • <br />i-. r* <br />». f'r.r* « <br />1rN <br />PRESENT USE OP PROPERTY <br />Present Zoning District <br />Present Use of Property Residential <br />Other (specify) <br />UlSCRIPTION OP REQUEST <br />Describe request in detail: <br />2. <br />3. <br />REQUIRED 8UBNITTRLS <br />1. Completed Application Porm. <br />Property Owners List of owners within 350* (you can obtain <br />this list from Hennepin County Department of Finance A-603 Government <br />^©nu0JT 34o*3271) <br />Stam^d7^1egaT* sised envelopes (#10) pre-addressed to each of the names <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 requirements).Plat Map. <br />As an addendum to this application, please ittach a separate list of <br />any other persons you wish notified of this application. <br />4. <br />5. <br />6. <br />7. <br />8. <br />The applicant and Property Owner imat sign this appliV^tioiir* Vlease <br />remember that your application is not complete if the above information has not been included. <br />Certification by Zoning Department that Land Use Application is complete. <br />Zoning Officials Signature _ _ _ _ _ _ _ _ _ Date <br />APPLICAHT'S SIGNATURE <br />agrees to provide all information required or <br />requested by the Zoning Administrator, agrees to pay all fees and/or <br />^usual expenses incurred in review of this application, and certifies that <br />knwledge^”*^^°” supplie^.^s trueand correct to the best of his/her <br />Applicant's signature pate <br />OWNERS SIGNATURE <br />acknowledges and agrees to this application and further <br />authorized reasonable entry onto the p.roperty by City staff, consultants, <br />agents, commission members, dnd Council members for purposes of <br />investigation and verjf*^Lcation of'^^MidTs'^eciueste <br />Owner 's signature <br />Applleant must have all submittals into the City offices 25 days before the <br />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 />r5 : , <br />4 .t • <br />♦ * <br />v;i <br />* ■ \\ <br />> 4. <br />< ' <br />k <br />V T *