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PRESENT DSB OF PROPERTYPresent Zoning District <br />Present Use of Property _ _ _ Residential <br />_______ Other (specify) <br />DESCRIPTION OP REQUEST ^ <br />Describe request in detail: ~T'f4r htPy\. f P T ^ iT <br />/''r {'.r/ I f >L'C <br />F/n F LPt fi 'F <br />/f C K C SS * fit f'^l" ( x f i f >ir 1 S ”• (. ^ c. <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 />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 />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 NORXING COPY (11* 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 />■V w w w Me a* mb mb mm mm mm mm mm ^m ^m mm mm m» mm mm mm mm mm mm ^m ^m ^m <br />Certification by Clerical Department t.hat 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 />tine not covered by original fee payment) and/or unusual expenses Incurred <br />in review of this application, and certifies that the information supplied <br />is true and correct to the best of his/her )cnowledge. <br />Applicant's signature <br />r <br />L Date •/ /: Ul <br />6/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 />'-f!_________corner's signature A 4- <- <- V. Tt Date <br />Applicant must have al^l 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 6 Zoning <br />Office of ♦'his change prior to the meeting.