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‘K ' ■«. ii.tm iNiik <br />PlOSraiT OSB OF PROPBRTT pp , <br />Present Zoning District Kf^' fry <br />Present Use of Property Residential <br />___________ Other (specify) <br />DBSCBIPnOB OF RBQUBST ^ ^ <br />Describe request in detail: ^jLCA\/ArE, /W &^tST’/NCj LOi^A^CA Tt> <br />k <br />2. <br />BBQDIBBD SDBNXTTBLS <br />!• Completed Application Form. <br />Certified Property Owners List of owners within 350* (you can obtai <br />this list from Hennepin County r apartment of Finance A-603 Governmen <br />Center 348-32711 <br />Stampedr legal sized envelopes (#10) pre-addressed to each of the name <br />on the. Above .4.1st with no return address. <br />Certificate of survey. <br />Topographic survey (existing and proposed contours) if lead <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 applicationr please attach a separate list of <br />any other persons you wish notified of this application. <br />4. <br />5. <br />8. <br />7. <br />8. <br />The applicant and Property Owner must sign this application. Please <br />remember that your application is not complete if th above information has <br />not been included. « <br />Certification by Zoning Department that Land Use Application is craiplete <br />Zoning Officials Signature _______________________________ Date <br />APPLICAHT'S SZ6HAT0RB <br />The applicant hereby agrees to provide all information required or <br />requested by the Zoning Adroinistratorr agrees to pay all fees and/or <br />unusual expenses incurred in review of this applicationr and certifies that <br />the information supplied is true and correct to the best of his/her <br />)cnowledge. <br />Applicant's signature Date <br />GinnSRS SIGHATURB <br />The owner hereby aclcnowledges and agrees to this application and further <br />authorized reasonable entry onto the property by City staffr consultants# <br />agentSr 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 />authorized agent attend in your place and advise the Building & Zoning <br />Office of this change prior to the meeting.