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^ ■» * <br />sns? <br />3 on <br />nm 0, <br />m <br />0'2PXR APPLICATIONS - CONT. <br />_ _ _ _ $250.00 Rezoning <br />_ _ _ _ $200.00 Appeals <br />i- •* <br />Other - see fee schedule <br />PRESENT USE OF PROPERTY <br />Present Zoning District \ & <br />Present Use of Property <br />DESCRIPTION OF REQUEST ^ i. r i 0 ft >o \L ^ <br />Describe request in detail: , <br />E^iUIRED SUBMITTALS <br />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 />Cernter 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 />Construction plan, if applicable. <br />(j5^ Plat Ms^p.'-(c>f^-rAii^L^ vo vT-H Ov-Jr^rie^i <br />The applicant and Propertv Owner must sign this applicatior. Please <br />remember that your application is not complete if the above information has <br />not been included. <br />___ MM mmm mmm mm mmt mmm mmm • ^ mm mm mm «v mm mm mm mm mm «*■ mm mm <br />APPLICANT'S SIGNATURE • ^The applicant hereby agrees to provide all information ^^‘^uired or <br />request^ed by the Zoning Administrator, agrees to pay all <br />unusual expenses incurred in review of this application, and certifie <br />tSe TnforLtion supplied^is true and correct to the best of his/h r <br />knowledge. <br />Applicant's signature <br />OWNERS SIGNATURE / < ‘ <br />dResidentiaJLJ <br />Other (specify)_ _ <br />/ <br />rpH^ owner hereby acknowledges^and agrees to this application and further <br />^^fhorized reasonable entry-^nto the property by City staff, consultants, <br />^ orJts commission members, and Council members for purposes of <br />investigation and ver;j^cation of/tl^s request. <br />Date / ^ // 'f i