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PRBSBMT OSB OF PROPERTY <br />Present Zoning District <br />Present Use of Property X Residential <br />Other (specify)_ <br />DESCRIPTION OF REQUEST <br />Describe request in detail: <br />REQUIRED SUBMITTALS <br />I' certifie^d P^roVerty^ List of owners within 350' (you can obtain <br />this list frorHeVnepin County Department of Finance A-603 Government <br />Center 348-3271). <br />4] Certificate of survey (signed by a li^censed surveyor). land <br />1. Topographic survey (existing and proposed contours) if land <br />alterations involve changes in elevation (grades). <br />6 Sonl^^iction plan, if applicable (see staff for requirements). <br />7! As an addendum to this application, P^e^s® <br />any other persons you wish notified of this application. <br />. _ _ _ _ <br />not been included. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />c«;iiic;;i;rbrcie;icirD;p«im;nriharia;ro;;ippiica^ is complete. <br />Initials of Clerical Staff:_ _ _ _ _ __ _ _ _ _ _^_ _ _ _ _—_ __ _ _ _ _ _ _ <br />APPLICANT'S SIGNATURE 4 „ ^ on reauired orThe applicant hereby agrees to provide all <br />is true and correct to the best o^ his/her knowlet^e. <br />““ kUim. <br />^r^ner'^'^y acknowledges and agrees to this <br />rgl‘'n°t%^rno^mTi “s"stin^ ml"m\^Vs?°a^J%'’o^°SJ?( "m’^m'Le^s for'purposes of <br />owner’s - -0 <br />Office of this change prior to the meeting.