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PRESENT USE OF PROPERTYPresent Zoning District <br />Present Use of Property _ _ Residential <br />Other (specify)__ <br />DESCRIPTION OP REQUEST <br />Describe request in detail: '^gK/<c>ogi-P I ST iwc. ^ >3 S T* oti- <br />REQUIRBD SUBMITTALS <br />3^1. Completed Application Form. <br />•^2. <br />3. <br />7. <br />Certified Property Owners List of owners within 350' (you can obtai <br />this list from Hennepin County Department of Finance A-603 Governmen <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 ARB RBQUIRBD TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR <br />A MORKING COPY (ll* X 17* OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. <br />The applicant and Property Owner must sign this application. Please <br />r^ember 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:_ _ _ _ _ _ _ _ _ _ _ _ _ _ ___ _ _ <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 th^beat of ^a/hmr lyiowledge. <br />Applicant's signature Date <br />ONHBRS 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 ^ \’l ^ <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 i Zoning <br />Office of this change prior to the meeting.