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PRESENT USB OP PROPERTY ^ IP--«Present Zoning District <br />Present Use of Property Residential <br />Other (specify)^ <br />DESCRIPTION OP REQUEST <br />Describe request in detail:Describe request in ae <br />ACT Fig AU > <br />SBQOIRED SUBMITTALS <br />1, Completed Application Form <br />Certified Property <br />/S^t <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />_ __ Owners 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 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) FOR ALL DOCUMENTS SUBMITTED. <br />The applicant and Property Owner must sign this application. <br />remember 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;_ _ _ _ _ _ _ ___ _ _ _ _ _ _ _ _ _ _ - - - - - - - - - - <br />APPLICANT'S SIGNATURE <br />time not covered by original fee^ayment) <br />in review of this applicat^to^^^i%d^^^^c^£yif.^s <br />is true and correct to /heledge. <br />Applicant's signature ^ ^- - - - - --- - - - -- <br />ONNERS SIGNATURE ^ f\ <br />The owner hereby acknowled^esIWnd agrees to this <br />authorized reasonable entry onto the property by City staff, consultants, <br />agents, commission members, and Council <br />investigation and verifica^on of thi^ request <br />Owner's sianature W\ VA <br />information required or <br />__ _pay additional fees (staff <br />and/or unusual expenses incurred <br />that the information supplied <br />members for purposes of <br />Al Date ^^0 <br />PlaiiinrcoJJ^ission Seetingr^Vlanni^g°Co^!^lssiL are held on the <br />unable to attend a scheduled meeting, please make <br />authorized agent attend in your place and advise the Building 6 Zoning <br />Office of this change prior to the meeting.