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i. j. uox- Or i jlPresent Zoning District <br />Present Use of Property CiTf Residential <br />Ocher (specify) <br />DESCRIPTION OP REQUEST ^ ^ <br />Describe recuest in detail: TO ALLOW <br />PlAM OF <^uESrr HouS^ c<0 _______________ <br />3 <br />4 <br />5 <br />6 <br />7 <br />REQUIRED SUBMITTALS <br />1. Comoleted Aoplicaticn Force. • <br />2. Certified Prooertv Owners List of owners within 350 (you can obtai <br />this list from Hennepin County Depart.-nent of Finance A-603 Governmer. <br />Center 348-3271). <br />Plat Map. <br />Certificate of survey (signed by a licensed surveyor). . <br />Topographic survey (e.xisting 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 attacn a separate list ot <br />any other persons you wish notified of this application. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR <br />A WORKING 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 />Certification by Clerical Department 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 t.hat the information supplied <br />is true and correct to th^ best, o^his/her )cnow/t^dge. <br />Applicant’s signature Date <br />OWNERS SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further <br />authorised reasonable entry onto the property by City staff, consultanus, <br />agents, commission members, and Counci1 members for purposes ot <br />investigation and request. <br />Owner's signature _____~~ <br />Applicant must have all submittals into the City offices 25 days before t.he <br />Planning Commission Meeting. Planning Commission Meetings are held on t.te <br />third Monday of each month. Applicants must be present at all scheduled <br />review meetings of the Planning Corrjnission and Council. If an applicant is <br />unable to attend a scheduled meeting, please make arrangements to have an <br />authorised agent attend in your place and advise the Building t Zoning <br />Office of this change prior to the meeting.