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u <br />PRESENT USE OP PROPERTY <br />Present Zoning District ~~ t /t^ <br />Present Use of Property STi ic<-^ Residential <br />_ _ _ _ _ _ _ Other (specify)_ _ _ _ <br />DESCRIPTION OP REQUEST ^ _ <br />Describe request in detail: ;t/c a< > ‘ C. K (^,r.An/€A ‘‘u:!:n}c.(r •Jrc.Ae / <br />Cy/^fJC'P'i , A t.ic /)C cc c/ii 10 ^ /-■/' ir/^cLn r ti rtJ <br />Cj r\fcU'J FcrR OL-eutrs T~^/VriS ___________________________ <br />REQUIRED SUBMITTALS <br />1. Completed Application Form <br />2. <br />m <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 />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 ycur 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 SignatureDate <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_^ndcorrect to the best of his/her | <br />)cnowledge. <br />Applicant's signature Date ^ /ci / / ^ 7 <br />OWNERS SIGN.'^TURE <br />The owner hereby acknowledges and agrees to this applf nation and further <br />authorized reasonable entry onto the property by City staff, consultants, <br />agents, commissicr^members, and Council members for purposes of <br />investigation and vej^ficatic^n^j^f request. <br />Owner's signature Date S'/.^ f 7_ _ _ __ <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, 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.