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!*■PRESENT USE OP PROPERTYPresent Zoning District <br />Present Use of Pr >perty _ _ _ Residential <br />Other (specify)_ <br />DBSCRIPTIOIi^.OP REQUEST <br />describe request in detail:• Bgigrr fuuNor EFPserw <br />-« <br />2. <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. <br />Certified Property Owners List of owners within 350' (you can obtaii <br />this list from Hennepin County Dej. rtment of Finance A-60 3 Governmen- <br />Center 348-3271). <br />Plat Map. <br />Certificate of survey (signed by a licensed surveyor). <br />Topographic survey (existing 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 attach a separate list of <br />any other persons you wish notified of this aj.olication. <br />3. <br />4. <br />5. <br />6. <br />7. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR <br />A WORKING COPY ill" X 17" OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. <br />The applicant and Property Owner must sign this application. Please <br />remember tnat your application is not complete if the abo^'e 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 Aaministrator, agrees to pay additional fees (staff <br />time not covered by original fee payment) and/or unusual expenses incurred <br />in review of this applicai[tion^£_j>and^.jejSi^^fies that the information supplied <br />is true and correct to ledge. <br />Applicant's signatur <br />OWNERS SIGNATURE <br />Date ^JVVU <br />The owner hereby acknowledges'and agrees to this application and further <br />authorized reasonable entry onto the property Ly City staff, consultants, <br />agents, commission members, and Council members for purposes of <br />investigation and verification of this request. <br />Owner <br />tlgation and verification of this request. j <br />'s signature OlVyVJl:^ VxJ {V~\r-e Date \ / ^ ^ <br />_______________________________________________________________________________1----------V----------- <br />Applicant must have all 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 & Zoning <br />Office of this change prior to the meeting.