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PRESENT DSB OF PROPERTY <br />Present Zoning District <br />Present Use of Property Residential <br />Other (specify) <br />DESCRIPTION OP REQCEST ^ // / <br />Describe request in detail: IH y (gO* <br />3. <br />4. <br />5. <br />6. <br />7. <br />REQUIRED SUBMITTALS <br />Completed Application Form. <br />Certified Property Owners List of owners within 350* (you can obtai <br />this list from Eennepin County Department of Finance A-6*03 Governmer. <br />Center 348-3271). <br />Plat Map. <br />Certificate of survey (signed by a licensed surveyor). <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 />As an addendum to this application, please attach a separate list of <br />any other persons you wish notified of this application. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OP LARGE DOCUMENTS OR <br />A WORKING COPY (11" X 17 * OR SMALLER) POR ALL DOCUMENTS SUBMITTED. <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 Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff:___________________________________ Date__________]______ <br />APPLICANT•S SIGNATURE <br />The applicant hereby agrees to provide all information required or <br />requested by the Zoning Administrator, agrees to pay additional fees (staff <br />time not covered by original fee payment) and/or unusual expenses incurred <br />in review of this application, and certifies that the information supplied <br />is true and correct to the best of his/her knowledge. <br />Applicant's signature Date <br />OWNERS 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 <br />re^^^ SI <br />Date \ — <br />Applicant must have submittals into the City offices 25 days before the <br />Rlenning 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 />^^*^1® 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.