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¥PRESENT USB OF PROPERTY <br />Present Zoning District - /C - ih <br />Present Use of Property 'i( Residential <br />Other (specify) <br />DESCRIPTION OP REQUEST <br />Describe request ir detail: <br />I ^ r c tv <br />t ‘c r rr’ ji b • f 1 h jhr-C K r ^ <br />r\ 11 / /u. y i ^ II- ' /■ <Tj ■ f 1 . - ' t, f u — / ^ <br />Ay>fi~^arf -hrf f (Xf^S- f t ty^d i ciAf'c^^ <br />fVK I ^ c’ / c • ^ >-' »~!/1 <br />REQUIRED SUBMITTALS <br />Compleved Application Form <br />-3. <br />5. <br />6. <br />Certified Property Owners List of owners within 350' (you can obtai <br />this list from Honnepin County Department of Finance A-603 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 />TOO ARB REQUIRED TO SUPPLY 30 COPIES OP LARGE DOCOKEKTS C» <br />A WORKING COPT (ll* K 17* OR SMALLER) FOR ALL DOCUMENTS SUBMITTED* <br />The applicant and Property Owner must sign this application. Please <br />remember that your appl J.cation 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 />APPLICAHT*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 )cnowledge. <br />Applicant's signature ^1/Date 9 - - - - <br />OWNERS SIGNATURE ^ ^ <br />The owner hereby acknowledces ard 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 t/erification of ^hls request <br />0«mer ' s <br />ration ana t^erizicarxon ox / <br />signature ^O _ Date <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Comiid.ssion Meeting. Planning Commission Meetings are held on the <br />third Monday of each month. Applicants must be present at all scheduled <br />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 4 Zoning <br />Office of this change prior to the meeting. <br />Jtu*til'x'.. M.. -1^ a,