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ay '^K ’m^Vr’^tlKinaF I-'rPRESEMT USB OF PROPERTTPresent Zoning DistrictPresent Use of PropertyPresent Use of Property _ _ _ _ _ _ _ __ Residential(y other (specify) /^/^t AlkM^K i:'rf,^jnNSKDBSCRIPTKMI OP REQOEST , .Describe request in detail: ■/- <LA!sk/^Q %/0/a}Ci, -jr/ <br />pitfpt)S.i yj ~lZl<.rttH/A.y Li f'M if/> ________________ <br />___________________________________________________________________________________________________________________________________ <br />8BQOIRBD SUBMITTALS <br />Completed Application Form. <br />Certified Property Owners List of owners within 350' (you can obtain <br />this list from Hennepin Cotinty Department of Finance A-603 Government <br />Center 348-3271) <br />Stampedr legal sized 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). <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 />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 />APPLICANT’S SIGNATORB <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^^^ true and jd^orrect to the best of his/her <br />)tnowledge. <br />Applicant's signature f Date 3h<r/f? <br />OMNERS 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 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 & Zoning Office of this change prior to the meeting. ^ ^