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4. <br />5. <br />6. <br />7. <br />6. <br />m OSB OP PROPERTY Present Zoning Oistrict I i3^.1 r• 4^♦ I r <br />« • <br />4 <br />Present Use of Property /4»»t/W - ResidentialtL)Eother (specify) <br />DBSCRIPTIOM OF REQUEST <br />Describe request in detail: <br />REQUIRED SUBMITTALS <br />1. Completed A’^plication Form. <br />Certified Property Owners List of owners within 350* (you can obtai <br />this list from Hennepin County Department of Finance A-603 Governmer <br />Center 346-3271) <br />Stamped, legal sized envelopes (#10) pre-addressed to each of th6 natti <br />on the above list with no return address. <br />Certificate of survey. <br />Topographic survey (existing and proposed contours) if I’.ad <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 />DateZoning Officials Signature <br />APPLICART*S SIGEATURE <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 is true and correct to the best of his/her <br />knowledge. <br />Applicant's signature Date ^ <br />OHHBRS SIGNATURE <br />The owner hereby aclcnowledges 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 ^ tfr" <br />Applicant must have all submittals ^nto 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 arrangments to have an <br />authorised agent attend in your place and advise the Building S Zoning <br />Office of this change prior to the meeting. <br />■Vi