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PfLESENT USE OF FROPEHTY <br />Present Zoning District I- Rk <br />Present Use of Property Residential <br />Other (specify) <br />DESCRIPTION OP REQUEST <br />Describe request in detail: <br />rC fr ic/c rtc. a n of r c rY) o ^ ItJ ^4r tJ<.4 n - <br />'^^QDIRED SUBMITTALS <br />1. Completed Application Form. <br />Property Owners List of owners within 350' (you can obtad <br />this list from Hennepin County Department of Finance A-603 Governmer <br />Center 348-3271). <br />3. Plat Map. <br />4. Certificate of survey (signed by a licensed surveyor). <br />5. Topographic survey (existing and proposed contours) if land <br />alterations involve changes in elevation (grades). <br />Construction plan, if applicable (see staff for requirements). <br />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 OF LARGE DOCUMENTS OR <br />____SMALLER) FOR ALL DOCUMENTS SUBMITTED. <br />O^ner must sign this appllcatlonr”VlMje <br />application is not complete if the above information hasnot been included. <br />Department that Land Use Application is complete. 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 /><original fee payment) and/or unusual expe.ises Incurred <br />in review of this application, and certifies that the information supplied <br />is true and correct to the^st of his,^er Jcnowledge. <br />Applicant's signature _ 7 ^. Date - g3 <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 />^_ _ _ _ _ _ _ __ Date B -Sc - _ _ _ _ _ <br />Applicant must have all submittals into the City offices 25 days before the <br />Commission Meeting. Planning Commission Meetings are held on the <br />Applicants must be present-at all-scheduled <br />Commission and Council. If an applicant Is <br />® meeting, please nuUce arrangements to have an <br />J your place and advise the Building « ZoningOffice of this change prior to the meeting. • • .