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I;':;';;A . <br />■:firl3^t <br />i <br />fi IB 7 r TTV “r - *WS • WA I i Wf W/\W‘MU* <br />«» .«^/^f»^• • * Ito 4» I i *•i ^.itrritww w* I ^U4» <br />< 7T.- 0 <br />^ w -* v4» VV V W <br />dod A ^ r <br />\ 1 <br />’* 7 7 1 '**^ <br />1?A1 w*V • VV' <br />i 'f »*^ 1 V • w*v <br />^ - J • ? f '• '*^ •*» -■» <br />Ww'V'A V^'W V <br />r ^pjT ¥i ...r <br />*-•-;• A,^ V vw <br />_ 1^1'P s:S:3^r J7 <br />ti jjr'.ww- <br />•;n»! <br />fc« «.-•-* J ^ -1 1 » . — <br />_ -’-A .-.^Af 7r ’»^ <br />WV'^A . . -* l.W-v <br />-rr. fT.c <br />1 \// ^ V*.' U <br />Zip r^rj^yy <br />year) <br />) <br />lated wetland or <br />;!• yd* or more <br />walls %rithin 75 * <br />int fees! <br />jljl j^jt : <br />.■ <br />:'v <br />T-"..-^‘- <br />t- i <br />N <br />. Tr.‘-:■ i rf*r.1 ' JSs::i^tS5r•:; i^;.v i*i!i <br />PRB8BNT USB OF PROPERTY <br />Present Zoning District <br />iJL i • ®! <br />Present Use of Property <br />Othi <br />Residential ' <br />DESCRIPTION OF REQUEST <br />Describe request in detail:3f _________________________ <br />1/^c.x.y^ roizjntD*^ (O^ <^aj S»-*"F40UM4>C ^AS^7^A.^A iT~ <br />Uitm For^!> <br />3. <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. <br />2. 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 n^unes <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 />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 Administrat<^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 M^/3 •Bi <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 />Date i <br />applicant must have all submittals into the City offices 25 days before the <br />?lanning Commission Meeting. Plc'r»ning 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 />‘ ia <br />V-:/' : . ■r; <br />■ ■ <br />1 <br />iit-S ' <br />: V!t-:C>• ':A ^«i <br />^ £ <br />11 • <br />■ ' iijw) ■1(0 <br />▼* <br />m <br />1 f A — <br />I <br />f#' > <br />CO <br />*0 <br />> <br />mi <br />I <br />k <br />Mi- - - - -- <br />iC <br />• *'