02-08-1993 Council Packet - Laserfiche WebLink

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PRESENT OSE OP PROPERTYPresent Zoning DistrictPresent Use of Property cb JO.I Residential Other (specify) DESCRIPTION OP REQUEST Describe request in detail: LlVlfOCb jis c\\TcuLLf^{ Cqa oi^pi'^ On ^ tinilrv rriAsT^ tic tim REQUIRED SUBMITTALS 1^ Completed Application Form, 2fV) Certified Property Owners List of owners within 350' (you can obta this list from Hennepin County Department of Finance A-603 Governme Center 348-3271). , , o / • - • -h- Plat Map. •Uou^^UPt _ (jjJlluiM'i Certificate 'of survey (signed by a licensed surveyor). Topographic survey (existing and proposed contours) if lane alterations involve changes in elevation (grades). Cojistruction plan/ if applicable (see staff for requirements). 7. NiAs an addendum to this application, please attach a separate list of f VvSsJpvany other persons you wish notified of this application. Crvtif-LocKoN « YOU ARB REQUIRED TO SUPPLY 30 COPIES OP LARGE DOCUMENTS OR 4. 5. 6'. A WORKING COPY (11* X 17’ OR SMALLER) FOR ALL DOCUMENTS SOBMITTED The applicant and Property Owner must sign this application. Please remember that your application is not complete if the above information has not been included. Certification by Clerical Department that Land Use Application is complete. Initials of Clerical Staff: Date APPLICANT'S SIGNATURE The applicant hereby agrees to provide all irforma*-ion required oi requested by the Zoning Administrator, agrees to pay additional fees (staff time not covered by original fee payment) and/or unusual expenses incurred in review of this application, and certifies that the information supplied is true and correct to the^est of his/her )cnowledge. Applicant's signature Date iO-Q.! ' OWNERS SIGNATURE The owner hereby acknowledges and agrees to this application and further authorized reasonable entry onto the property by City steff, consultants, agents, commission members, and Council members for purposes of investigation and verification of this request. Owner's signature Date Jo Applicant must have all submittals into the City offices 25 days before the Planning Commission Meeting. Planning Commission Meetings are held on the third Monday of each month. Applicants must be present at all scheduled review meetings of the Planning Commission and Council. If an applicant is unable to attend a scheduled meeting, please make arrangements to have ar authorized agent attend in your place and advise the Building & Zoninc Office of this change prior to the meeting.