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- GENERAL LAND USE APPLICATION ION dhia9cyf^^>yL>^7>uL4^cnJZ.ification Number (P.I.D.)ne - Property /V14' abstract or // /h torrens? Ltional Use Applications only)legal description to application if not included rvey.Phone (home )Phone (work)-7S^-7J .City 6a.i.L Zip ^32 5 <br />srent than applicant)Phone (home) <br />vS A-Wv ^Phone <br />City Zip <br />irty Acquired (month/vear ) <br />) not) also own the adjacent parcels of land. <br />)NAL USE PERMITS - <br />se - 1/2 Current Fee <br />“louble Current Application Fee•Fact Fee <br />10.00 a) <br />10.00 b)Oo•oc) <br />lO.OO d) <br />0.00 f) <br />0.00 d) Commercial/Industrial Use <br />Land Alteration <br />Grading and filling - designated wetland or <br />floodplain <br />Grading and filling - 101 cu. yd. or more <br />Grad.-ng, seawall, retaining walls within 75' <br />of lakeshore <br />ONS <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />Commercial Site Plan Review (+ consultant fees) <br />Vacation <br />Easement Vacation <br />Easement Vacation With Subdivision <br />Rezoning <br />Appeals <br />Br - see fee schedule <br />PRESENT USE OP PROPERTYPresent Zoning District Z / QPresent Use of Property Residential_ _ _ _ _ _ _ Other (specify)DESCRIPTION OF REQUEST j.Describe request in detail:REQUIRED SUBMITTALS1. Completed Application Form.2. Certified Property Owners List of owners within 350' (you can obtain this list from Hennepin County Department of Finance A-603 Government Center 348-3271)3. Stamped, legal sized envelopes (#10) pre-addressed to each of the names on the above list with no return address.4. Certificate of survey. <br />5. Topographic survey (existing and proposed contours) if land <br />alterations involve changes in elevation (grades). <br />6. Construction plan, if applicable (see staff for requirements). <br />7. Plat Map. <br />8. As an addendum to this application, please attach a separate list of <br />any other persons you wish notified of this application. <br />The applicant and Property Owner must sign this application. Please <br />remember that your application is not complete if the above information has <br />not been included. <br />Certification by Zoning Department that Land Use Application is complete. <br />Zoning Officials Signature _ _ _ _ ___ _ _ _ _ _ _ _ _ _ _ _ _ _ Date^_ _ _ _ _ _ _ __ <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide all information required or <br />requested by the Zoning Administrator, agrees to pay all fees and/or <br />unusual expenses incurred in review of this application, and certifies that <br />the information supplied is true and correct to the best of his/her <br />knowledge . <br />//•Applicant's signature Date *?/'?. <br />OWNERS SIGNATURE ^ u <br />The owner hereby acknowledges 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 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 meetings 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 & Zoning <br />Office of this change -prior to the meeting.