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r.i <br />rrens? <br />led on <br />ST3s^ <br />i\ <br />ore <br />OTHER APPLICATIONS - CONT.__ _ _ $250.00 Rezoning <br />_ _ __ $200.00 Appeals <br />^ ^ Other ~ see fee schedule <br />PRESENT USE OP PROPERTY <br />Present Zoning District <br />- <LcO <br />Present Use of Property $i ,jc|Vq, Residential <br />OtKer (specify) <br />DESCRIPTION OF REQUEST <br />Describe request in detail; <br />_ _ _■^3Vv^CVv-Vjq\\\.A Vap, <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. <br />2. Certified Property Owners List of owners within 350' (you can obtai <br />this list from Hennepin County Department of Finance A-603 Governmen <br />Cernter 348-3271) <br />3. Stamped, legal sized envelopes (#10) pre-addressed to each of the name <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 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 />knowledge. N <br />Applicant* s signature <br />OWNERS SIGNATURE <br />Date <br />* j <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 signature Date <br />Applicant must have all submittals into the City officec; > w ^ <br />third^M^darorelch^mlnth?' Coitutiisslon Meetings are" held°ln the