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rI* <br />\k PRESENT USB OF PROPERTY <br />Present Zoning District R-1 <br />Present Use of Property Residential <br />Other (specify) <br />V DESCRIPTION OP REQUEST <br />Describe r*- ucit in detail: see attached <br />REi <br />1. <br />fIRBD SUBMITTALS <br />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 />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. Construjition 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 />APPTi..:ANT*S SIGNATURE <br />Th“.: 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 supplij^d^is true ^-ai\d correct to the best of his/her <br />knowledge. ^ <br />Applicant's signature Date <br />OWNERS SIGNATURE <br />The owner hereby acknowledges aifd^^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 />investigCitlon and ve:^ificatio^r oifcthis request. <br />Owner's signature <br />srificatio^ ofsjhi <br />OL^C-Date <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 rt 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.