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FBBSBHT USB OP PROPERTY <br />Present Zoning District <br />Present Use of Property _ _ _ Residential <br />Other (specify) <br />DBSCRIPTZOH OP REQUEST <br />Describe reouest In detail: Construct a permanent dock across marsh <br />to shoreline to provide access to i atce. dock will extend into <br />lb T*o6t setbacK trom snoreiine. <br />REQUIRED SUBMZTTRLS <br />\ <br />Completed Application Form. <br />Certified Property 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 />St2unpedr legal sized envelopes (#10) pre-addressed to each of the n2unes <br />on the above list with no return address. <br />Certificate of survey. <br />Topographic survey (existing and proposed contours) If land <br />alterations Involve changes In elevation (grades). <br />Construction planr If applicable (see staff for requirements). <br />Plat Map. <br />As an addendum to this application, please attach a separate list of <br />any other persons you wish notified of this application. <br />The applicant and Property Owner must sign this application. Please <br />remember that your application la not complete if the above Information has <br />not been Included. <br />Certification by Zoning Department that Land Use Application is complete. <br />Zoning Officials Signature _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Date_ _ _ _ _ _ _ _ _ <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />APPLICAHT’S SZGRATURE <br />The applicant hereby agrees to provide all Information required or <br />requested by the Zoning Administrator, agrees to pay all fees and/or <br />unusual expenses incurre<ri>n re^ew of this application, and certifies that <br />the Information suppled Is And hoTX^ct, to the b^t of his/her <br />& <br />knowledge. <br />Applicant's signature <br />)lfed isAnd fiOTX <br />2 —-Date <br />OMHERS SIGRATURE <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 verification of this request. <br />Owner's signature __________________________________ Date <br />Applicant must have all'submittals Into the City .offlees 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 rarrangements to have an <br />authorized agent attend In your place and advise the Building & Zoning <br />Office of this change prior to the meeting. ,