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PRESENT USE OP PROPERTY <br />Present Zoning District <br />Present Use of Property Residential <br />Other (specify)_ <br />DESCRIPTION OP REQUEST <br />Describe request in detail: <br />2. <br />REQUIRED SUBMITTALS <br />certin* d p'roVerty^^^ list of owners within 350- (you can obtain <br />this list from Hennepin County Department of Finance A-603 Government <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 <br />any other persona you wish notified of this application. <br />3. <br />4. <br />5. <br />6. <br />7. <br />The annlicant and Property Owner must sign this application. Please <br />rSm.mb'lV^ryour application is not complete if the above information ha. <br />not been included. _ _ <br />Certification by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff:- - - - - - --- - - - - - - --- -- - - - - - - - - - - -— <br />Th.“^^ica*n\‘^I^y agrees to provide all information required or <br />;;:qu.st;rby the Zoning ;d;inistrator, agre.s to pay ^ f‘*fnc««d <br />tSe not covered by original fee payment) and/or unusual expenses <br />In review of this application, and certifies that the information supplied <br />i,s ^ru6 dnd correct to the best of his/her knowledge. <br />1* ,n Date ^ ^Applicant's signature <br />OMHHSS SICNATORB <br />The owner hereby ac)cnowledges and agrees to this «PPl <br />authorized reasonable entry onto the property <br />agents, commission members, and Council members for purposes <br />investigation and verification of this request. <br />*s signature c i^vu// Date _^j^»1Owner <br />. . . . . . . . . .-. . . . .t/- - - - - <br />Applicant must have all submittals into the City JUSPlanning Commission Meeting. Planning Commission Meetings are held on the <br />cJ/ncU. If sn spplic«.t 1. <br />un.bl. to .tt.nd s scheduled meeting, pl.ss. msk. <br />suthorliod sg.nt attend in your place and advis. the Building t <br />Office of this change prior to the meeting.