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• •. <br />OTHER APPLICATIONS - CONT. <br />_ _ _ _ $250.00 Rezoning <br />$200.00 Appeals <br />Other - see fee schedule <br />PRESENT USE OF PROPERTY <br />Present Zoning District <br />Present Use of Property Residential <br />Other (specify) <br />DESCRIPTION OF REQUEST <br />Describe request in detail: <br />REQUIRED SUBMITTALS <br />1. Completed Application Form <br />2.Certified Property Owners List of owners within 350* (you can obtail <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 namet <br />on the above list with no return address. i <br />5. <br />Certificate of survey. <br />Construction plan, if applicable. <br />Plat Map. <br />' c^OO.OO <br />—I \» \ A V lA'V -VO tr\‘^4 ■'■?- • :'rV'I / <br />r J <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 />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 />Icnowledge. <br />Applicant's signature <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 signatu uici Date <br />Applicant must have all submittals into the City offices 25 davc: bP*fnT*a <-k