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USB OF PROPERTY <br />Pr«s«nt Zoning District <br />Pressnt Use of Property /Residential <br />Other (specify) <br />BB8CRIPT10E OP RBQOBST <br />Describe request in detail: mosi-gf Mk. <br />.^rwlnviij <br />■«-. «*- g.tg.i/a.Ka <br />1. <br />2. <br />iQin I i -•SDBWlTTRLg <br />F <br />3. <br />4. <br />5. <br />4. <br />7. <br />Completed Application Form. <br />Certified Property owners List of owners within 350' (you can obtain <br />this liat from Hennepin County Department of Finance A-603 Government <br />Center 348-3271). <br />Plat Nap. <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 persona you wish notified of this application. <br />TOO ARB RBQOIRBD TO SUPPLY 30 COPIES OP LARGE DOCDMEIITS OR <br />A «ne«T»C COPY (11* X 17* OR SMALLER) FOR ALL DOCOMEIITS SUBMITTED. <br />The applicant and Property Owner must sign this application. Please <br />resModser that your appl ^I'ation is not complete if the above information has <br />■ot been included. <br />Certification by Clerical Department that Land Use Application is complete <br />Xaitials of Clerical staff:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Date_ _ _ _ _ _ _ _ <br />BVfUCABT'S SIGBATORB <br />nie 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 />Applicant's signature /Co.Date Z-2/- y/ <br />_____ SIGBATORB <br />The owner hereby acknowledges and agrees to this application and further <br />Sttthorised reasonable entry onto the property by City staff, consultants, <br />moents, commission members, and Council members for purposes of <br />inwestigation and verification of this request. <br />Guner's signature {Ca.Date <br />Applicant srast have all submittals into the City offices 25 days before the <br />Tlaimiag Commission Meeting. Planning Commission Meetings are held on the <br />Ihhird Monday of each month. Applicants must be present at all scheduled <br />imwiew meetings of the Planning Commission and Council. If an applicant is <br />mmilble to attend a scheduled meeting, please make arrangements to have an <br />|inthorised agent attend in your place and advise the Building & Zoning <br />Office of this change prior to the meeting.