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PRESENT USB OP PROPERTYPresent Zoning District <br />Present Use of Property (^sidential3 <br />Other (specify) <br />detail: Tn hB L'<.ecs />< DftlOofiP PRF-:^l>C.L. <br />antt, f'lAit.jzfir-APryPni - ennAf/^v s.-n>f>^^rs. Tr>T/^/~ ^ <br />£xT5fJi>i^n r^A^/S. If= D^/TJArJj u:fi <br />REQUIRED SUBMITTALS <br />\\ Certif i^d 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 />3. Plat Map. , . ^ i4. Certificate of survey (signed by a licensed surveyor). » .^ i a <br />5. Topographic survey (existing and proposed contours) it lan <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 ot <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. 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:_ _ _ _ ___ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _; <br />APPLICANT'S SIGNATURE ^The applicant hereby agrees to provide all information required or <br />requested by the Zoning Administrator, agrees to pay additional fees (staff <br />time not covered by original fee payment) and/or unusual expenses incurred <br />in review of this application, and certifies that the information supplied <br />is true and correct to best of his/her knowledge. <br />Applicant's signature '/f). _ _ _ _ _ _Date - - - -'7^/''^u/.9^1.- - - <br />OWNERS SIGNATURE ^ <br />The owner hereby acknowledges and agrees to this application and <br />authorized reasonable entry onto the property by . <br />agents, commission members, and Council members for pu p <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 t^e <br />third Monday of each month. Applicants must be present at all scheduled <br />review meetings of the Planning Commission and Council. If ^ <br />unable to attend a scheduled meeting, please make arrangements <br />authorized agent attend in your place and advise the Building & Zoning <br />Office of this change prior to the meeting.