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PRBSSlfT OSB OF PROPERTY <br />Present Zoning District <br />Present Use of Property <br />R 1 <br />R 1 <br />J J ^ <br />>** *■\fr <br />Residential <br />Other (specify)_ <br />DBSCRIPTIOH OP REQUEST <br />Describe request ir detail: Amend previously granted conditional <br />peffflit foL ’ dccJc ^.FlaLfoi. <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. . <br />2. Certified Property Owners List of owners within 350' (you can obtain <br />this list from Tennepin County Department of Finance A-603 Government <br />Center 34< <br />3. Plat Map. <br />4. Certificate of survey (signed by a licensed surveyor). <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. As an addendum to this application, please attach a separate list of <br />any other persons you wish notified of this application. <br />YOU ARB REQUIRED TO SUPPLY 30 COPIES OP LARGE DOCUMENTS OR <br />A WORKING COPY (ll* X 17* OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. <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 Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff:__________________________________ Date-------------------------- <br />APPLICANT'S SIGNATURE <br />Th, applicant hereby <br />requested by the Zonir <br />time not covered by c <br />in review of this appl <br />is true and correct to <br />Applicant's signature <br />-rees provide all information required or <br />ist or, agrees to pay additional fees (staff <br />fee payment) and/or unusual expenses incurred <br />and certifies that the information supplied <br />jest of higher )cnow''edge. <br />Date July D/. ^ <br />Date <br />OWNERS SIGNATURE , ^ ^ ^ ,.u - <br />The owner hereby ac)cnowledges 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 verif_ic^^on of^his request. <br />Owner's signature ^__________ <br />Applicant must have all submittals into the City c ces 25 days before the <br />Planning Commission Meeting. Planning Commissir -etings are held on the <br />third Monday of each month. Applicants must I .©sent at all scheduled <br />review meetings of the Planning Commission and Cuaiicil. If an appl-cant is <br />unable to attend a scheduled meeting, please maJce arrangements tc have an <br />authorized agent attend in your place and advise the Building & Zoning <br />Office of this change prior to the meeting.