Laserfiche WebLink
pm <br />■ <br />If' <br />m- <br />W <br />IMSKMT OSB OF PROPBRTT <br />Present Zc ling District <br />Present Use of Property Residential <br />DBSCRIPTIOa OF REQUEST <br />Describe request in detail; <br />Other (specify! <br />S»=t=- A^^lci^Ujr<v <br />KBQOIBSD 8DBNITTRLS <br />I, Completed Application Form. <br />Certified Property Owners List of owners within 350' 'you can obtai: <br />tr.it list from Hennepin County Department of Finance A-60 3 lovernmen <br />Center 348~3271). <br />Plat Map. <br />Certificate of survey (signed by a licensed surveyor). <br />Topographic survey (existing and proposed contour.s) if land <br />alterations involve changes in elevatin (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 application. <br />2. <br />3. <br />4. <br />5. <br />«. <br />7, <br />MMM UQOIKBD TO SUPPLY 30 COPIBS OF LARGE DOCUMENTS OR <br />COPT Cll* X 17* OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. <br />Tha applicant and Property Owner must sign this application. Please <br />raaMnbar that your application is not complete if the above information has <br />not boon incltkled. <br />Cartificatimi by Clerical Department that Land Use Application is complete. <br />Initials of Clerical staff:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _Date_ _ _ _ _ _ _ _ __ <br />APPLZCAMT'S 8I6MATURE <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 that the information supplied <br />is true and correct to the best of his/her knowledge. <br />Date 2f\-Applicant's signature <br />0WIEII8 SIGNATURE <br />The owner hereby ac)cnowledges 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 />Owner's signature Date <br />Applicant must have all submittals into the City offices 25 day i 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 ..eetings 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 this change prior to the meeting.