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PRESENT USE OP PROPERTY <br />Present Zoning District <br />Present Use of Property Residential <br />Other (specify) <br />DESCRIPTION OP REQUEST <br />Describe request ^n detail: <br />nJ <br />j- <br />/ <br />/a A^’ <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 Hennepi. County Department of Finance A-603 Government <br />Center 348-3271). <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, ’.ease attach a separate list of <br />any other persons you wish notified c this application. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF 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 />The applicant hereby agrees to provide all information required or <br />requested by the Zoning Administrator, agrees to pay additional jes (staff <br />time not covered by original fee payment) and/or unusual expenses incurred <br />in review of this "*Dplication, and certifies that the information supplied <br />is true and corrp^ vo the -best of his/her knowledge. <br />Applicant's signature Date Tc- <br />OWNSRS SIGIWTORE <br />The owner hereby acknowledges 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 veri^cation of this request. <br />Owner <br />Applicant must have all submittals into the City offices 25 days before the <br />Planning Commission Meeting. Planning Commission Meetings are held on the <br />third Monday of each month. Applicants must be present at all scheduled <br />review meetings of the Planning Commission and Council. If an applicant is <br />unable to attend a scheduled meeting, please make arrangements to have an <br />authorized agent attend in your place and advise the Building & Zoning <br />Office of this change prior to the meeting.