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i;-PRBSBNT USB OP PROPERTYPresent Zoning District %' . <br />Present Use cf Property _ _ _ Residential <br />Other (specify)_ <br />DESCRIPTION OP REQUEST - . ' <br />Describe request in retail: ^ ^ ~ ‘ ^ ^ <br />r\ Vf*>o _ _ _ _N ^ - c. - g. A^> — - .1»I I ■ I <br />\ \ <br />r.;-- <br />i* <br />2. <br />required submittals <br />cSSifie^^^^oV^rty°”ow^ List of owners within 350' (you can obtai <br />this list from Hennepin County Department of Finance A-603 Governmen <br />Center 348-3271). <br />Certificate of survey (signed by a licensed surveyor). . . - , j <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 application. <br />3. <br />4. <br />5. <br />b. <br />7. <br />TOO ARB REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR <br />A WORKING COPY (11* X 17* OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. <br />L. <br />4^ <br />:• r'‘. <br />4: <br />I'K <br />The applicant and Property Owner must sign this application. P^®^se <br />rememl^r that your application is not complete it the above information has <br />not been included. _ _ <br />Certification by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff _ _ _ _ _ _ ___ _ _ _ _ _ _ _ _ _ _ _ _Date- - - - -- - - - - <br />i" ’tr <br />fete <br />il'fe <br />I."' <br />AFPLICAHT*S SI6HAT0RB <br />The applicant hereby agrees to provide all <br />requested by the Zoning Administrator, agrees to pay additional fees (start <br />not covered by original fee payment) and/or unusual expenses incurre <br />in review of this application, and certifies that the information supplied <br />is true and correct to the ^est qfjjis/her )cnowledge. <br />Applicant's signature __Date <br />OMMQDtS 8XC91AYORB ^ j ^The owner hereby acknowlf:dges and agrees to this application and furtMr <br />authorised reasonable entry onto the property by C^ty staff, <br />agents, commission members, and Council members for purposes <br />investigation and verification of this request. <br />Owner's signature Date - - - <br />.T ' <br />m <br />Applicant must have all sutoittals into the City offices 25 days before the <br />Planning Commission Meeting. Planning Commission Meetings are ^ <br />unable to attend a scheduled meeting, please make arrangements <br />authorized agent attend in your place and advise the Building 4 zoning <br />Office of this change prior to the meeting. <br />(f;/-