02-10-1992 Council Packet - Laserfiche WebLink

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f “ ’*■ FBBSEHT USB OP PROPERTY ^ Vp ^ i U Present Zoning District / ^ Present Use of Property _ _ _ _ _ _ _ Residential Other (a^ecify) [ DB8GRZPTIOH OF REQUEST Describe request in detail: i' • r ‘ V •. P |g-t^ R»<z- - wHsifci!/ IBQCISBD SUBMIRUS V. Completed AppT ication Form. Certified Property Owners Lij». of owners within 350' (you can obtain this list from Hennepin County Department of Finance A-603 Government Center 34;.-3271). Plat Map. Certificate of survey signed by a licensed surveyor). Topographic survey \existing ;■ d proposed con^'ours) if lard alterations involve changes in elev..tion (grades). Construction planr if applicable (see staff for requirements). y7« As an addendum to this application, please attach a seoarate list of any other persons you wish notified of this application. Jr YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR A WORKING COPY (ll* X 17" OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. The applicant and Property Owner must sign this application. Please remember i lat your application is not complete if the aoove infcrmatior has not been included. W WHR RBR MRI SHP Riv w* O h * esiM SHR ew mm mm mm mm mm som mm mm mm mm mm mm <^m mm •• mm mt mbm -«■» mm mm mm mm m» mm rm mm mm iMO mm mm mm mm mm* mm mm «mM mm mm «Me mm Certification by Clerical Department that Land Use Application is complete. Initials of Clerical Staff:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _Date_ _ _ _ _ _ _ _ _ _ _ APPLICANT'S SIGNATURE The appll'^ant hereby agrees to provide all information required or requested by the Zoning Administrator, agrees to pay additional fees (staff time not covered by original fee payment) and/or unusurl expenses incurred in review of this applic”*t'• and certifies that the information supplied is true and correct ‘•.c the of his/her )cnowledg3. Applicant's signature ^Date l7’~/2.‘^ /?/ OWHERS SIGNATURE The owner hereby acknowledges and agrees to th..s application and further authorized reasonable "Ttry onto the property by City staf'”, consultants, agents, commission members, and Council members for purposes of investigation and verification cf this request. Owner's signature _ _ _ _ _ Date / '2^4-/ _ _ _ _ Applicant must have all submittals into the City offices 25 days before the Planning Commit Meeting. Planning Commission Meetings are held on the third Monday of *ch 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 an authorized agent attend in your place and advise the Building & Zr«ning Office of this change prior to the meeting. r . 4» W-. X.-