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1 ‘V <br />f <br />' PRESENT USE OP PROPERTY <br />Present Zoning District <br />Present Use of Property yC Residential <br />/Other (specify) <br />DESCRIPTION OP REQUEST O . i_ r> \ \ \ <br />Describe request in detail: \ i I <br />XI || IpClO -yV\n/o /T) fhri bcvCK <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. <br />I <br />2. Certified Property Owners List of owners within 350' (you can obtain <br />\his list from Hennepin County Department of Finance A-603 Government <br />Cernter 348-3271) <br />3. Stamped, legal sized envelopes (#10) pre-addressed to each of the names <br />on the above list with no return address.. <br />4. Certificate of survey. ■ • ; <br />5. Construction plan, if applicable. <br />6. Plat Map. <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 Administrator, agrees to pay all fees and/or <br />unusual expenses incurred in review of this application, and certifies ^hat <br />the information supplied is true and correct to the best of his/her <br />knowledge. <br />DateApplicant's signature/jV (X/X <br />OWNERS SIGNATURE j ,r 4.w ^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 or <br />investigation and ve^ification ^^o^^tl^s request. <br />Owner's signature\DcA[/Date —7 <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Commission Meeting. Planning Commission Meetings •‘X <br />third Monday of each month. Applicants must be present at all scheduled <br />review meetings of the Planning Commission and Council, and, if an <br />applicant is unable to attend a scheduled meeting, to please maKe <br />arrangements to have an authorized agent attend in your place and to advise <br />the Building & Zoning Office of this change prior to the meeting.