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^/3^/ <br />4»*'^X <br />0» <br />torrens? CITY OF CFut^O <br />— - ...«—* • — — • <br />J, . n f. ’ • «: - -*•*-«.*»- <br />• »iT»*^»TVi» W« I <br />included <br />< T-/."A.-V).“''}.vv VW <br />.*»< rry <br />'. i W'i.i • <br />fcn ,nA <br />1 w‘V • VV' <br />) <br />:M “ryVA CUit <br />f f t": <br />4 ^ V » V*v <br />f * J • 7 f • • •• :i :i} <br />A w'WVl V t'WV <br />"?* I CT <br />u Lilj <br />1 <br />J. 4. w V VW'zrp_j^22/L.r.'i <br />: <br />U _L;A .'L <br />() f<^V>/74 2........... <br />w*u'.- »wv.‘ <br />mrnmmim^nn <br />:r:^if\ / ufU* <br />- 13'VV <br />W. - — - • <br />f' w ‘.' .• J* ; t W •w U ^ t <br />if: <br />I i . . f i / w <br />av'/ X V.’ L* <br />Zip <br />month/year ) <br />land. <br />^ae <br />L, etc.) <br />dasigilatftd wetland or <br />LOl cu. yd. or more <br />.ning walla within 7S‘ <br />snsultant feei) <br />Oyet^ <br />\/-4 <br />;«r" <br />■PS <br />*r' <br />'r-') <br />mmmmmmirnmmm <br />VKBSWStT USB OF PROPERTY <br />Present Zoning District <br />iijbi i - <br />Present Use of Property <br />0th <br />DBSCRIPTIOH OF REQUEST <br />Describe request in detail: _______________ <br />roajno»o ^ajsT-^ FX^Uti^C <br />’’■yo <rs <br />2. <br />3. <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. <br />Certified Property Owners List of owners within 350* (you can obtain <br />this list from Hennepin County Department of Finance A-603 Government <br />Center 348-3271) <br />Stamped, legal sized envelopes (#10) pre-addressed to each of the names <br />on the above list with no return address. <br />Certificate of survey. <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 />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 />4. <br />6. <br />7. <br />8. <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 />Zoning Officials Signature Date <br />APPLICANT’S SIGNATURE <br />The applicant hereby agrees to provide all information required or <br />requested by the Zoning Administratc^r, 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 y Ja^/3 •$$ <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 />0)4-^C*Date i i/?^ <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. <br />Wi <br />■% <br />f.'ti <br />rf' <br />y* <br />h <br />i <br />»•< <br />4 % •