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PRESENT USE OF PROPERTY ^ <br />Present Zoning District L. ~~ [ I <br />Present Use of Property (~AMH.YResidential <br />Other (specify) <br />DESCRIPTION.OF REQUEST <br />Describe request in detail: \mA<o€ tf. J <br />^■Hot>A6 Cot,LAP.<?«^AU;Ay ~ ■ /tCi iQ 2 j* ^a^41l~Tp <br />----------------- - ------------------------------- ----------------—_ -—-—--------------------------------------------------_ <br />REQUIRED SUBMITTALS <br />1. i/Completed Application Fonn. <br />2. i^ertified Property Owners List of owners within 350' (you can obtai <br />this list from Hennepin County Department of Finance A-603 Governmen <br />Center 348-3271). <br />*3. ■ L'Plat Map. <br />4. ^Certificate of survey (signed by a licensed surveyor)’. <br />5. *^T opographic survey (existing and proposed contours) if land <br />alterations involve changes in elevation (grades). <br />6. ^Construction plan, if applicable (see staff for requirements). <br />7. As an addendum to this application, please attach a separate list of <br />any other persons you wish notified of this application. <br />you ARE REQUIRED TO SUPPLY 30 COPIES OP LARGE DOCUMENTS OR <br />A WORKING COPY (ll* X 17" OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. <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 Clerical Departm»^‘nt that Land Use Application is complete. <br />Initials of Clerical Staff; 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 additional fees (staff <br />time not covered by original fee payment) and/or unusual expenses incurred <br />in review of this application, and certifies that the information supplied <br />i., true and correct to the best of his/her )cnowledge. <br />Applicant's signature Date 93 <br />OWNERS SIGI4ATURE <br />The owner hereby aclcnowledges 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 />Date / 9 JS_ _ _Owner's signature <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. If an applicant is <br />unable to attend a scheduled meeting, please make arrangements to have an <br />authorized agent attend in your place and advise the Building & Zoning <br />Office of this change prior to the meeting.