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PRESENT OSB 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 />REQUIRED SUBMITTALS <br />Completed Application Form. <br />Certified Property Owners List of owners within 350' (you can obtain <br />this list from Hennepin County Department of Finrnce 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 of <br />any other persons you wish notified of this application. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OP LARGE DOCUMENTS OR <br />A WORKING COPY (11* X 17* OR SMALLER) POR ALL DOCUMENTS SUBMITTED. <br />The applicant and Property Owner must sign this application. Please <br />remesUser that your application is not complete if 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 />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide all nformation required or <br />requested by the Zoning Administrator, agrees to pav additional fees (staff <br />time not covered by original fee payment) and/or ui.usual expenses incurred <br />in review of this application, and certifies that the information supplied <br />is true and correct to thOv best of his/her )c/towledge. <br />Applicant's signature Date <br />nWNlRO 8I( <br />The owner hereby acknowledges and agrees to this application and further <br />authorised reasonable entry onto the property by City staff, consultants, <br />agents, commission members, and Council members for purposes of <br />investigation and ver^^cation of ^his revest. <br />Owner's signature _ _ _ _ Date _ _ _ _ _ _ _ _ _ _ _ _ <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 SMetings of the Planning Commission and Council. If ar .;plicant is <br />unable to attend a scheduled meeting, please make arrangements to have an <br />authorised agent attend in your place and advise the Building t Zoning <br />Office of this change prior to the meeting.