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i <br />PRESENT USE OP PROPERTY <br />Present Zoning District <br />Present Use of Property <br />//7 <br />r1r ! <br />a <br />t <br />•nr. V. a <br />V <br />• A- ; VM <br />riJ-T.ta, <br />\ <br />V-- y <br />•rtJ <br />■K _ _ Residential <br />Other (specify) <br />DESCRIPTION OF REQUEST <br />Describe request in detail: . Vd- ^lA.nr <br />RTOOIRED SUBMITTALS <br />Completed Application Form <br />jSC Li^t of owners within 350' (you can obtain <br />0 <br />from Hennepin County Department of Finance A~603 Government 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 />_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <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 />^ ‘I <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 that <br />the information supplied is true and correct to the best of his/her <br />knowledge. <br />Applicant's signature Date <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 />Owner's signature Date <br />Applicar' 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, 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.