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PH2SENT OSB OP PROPERTYPresent Zoning District <br />Present Use of Property Residential <br />Other (specify) church <br />DESCRIPTION OF REQUEST - i , <br />Describe reguest in detail: consti act ion or i ISO' antenna tow er anu the., location <br />of a 12* X 30^ prefabricated equipment buildinu for a r’S West - New Vector <br />Cellular phone antenna. ____________________________ <br />REQUIRED SUBMITTALS <br />Cert if i^d Owners List of owners within 3 50' (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). , ^ r ^ <br />Topographic survey (existing and proposed contours) if lan <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 />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF I.^GB DOCUMENTS OR <br />A WORKING COPY (11" X 17* OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. <br />PleaseThe applicant and Property Owner must sign this application, <br />rememb^e^r 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 />T.he applicant hereby agrees to provide- - <br />requested by the Zoning Administrator, agrees to pay additional ^ees ^stat <br />time not covered by original fee payment) and/or unusual expenses incur ^ <br />in review of this applicatio,n, and certifies that the information supplied <br />is true and correct to the h^^he^ knowledq^. <br />Applicant's signature [AJIDate <br />(for USUEST Vector) <br />OWNERS SIGNATURE , . ^ <br />The owner hereby ac)cnowledges and agrees to this application and <br />entry onto the property'b^y City staff, consultants, <br />and,^-G<unci 1 mtembers for purposes of <br />est. J_________________^ <br />all information required or <br />authorized reasonable <br />agents, commission <br />investigation anc <br />■mber s, <br />ifl if th! <br />)(^0wner's signati re \ Ja <br />Applicant must have all submi^als i <br />Planning Commission Meeting. >^nn>hg <br />third Monday of each month. App <br />Date <br />to the City offices 25 days before the <br />Commission Meetings are held on the <br />Icants must be present at all scheduled <br />authorized agent attend in your place and advise the Building & - 9 <br />Office of this change prior to the meeting.