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PRESENT USE OP PROPERTY <br />Present Zoning District <br />Present Use of Property Residential <br />Othef^^pecify)?i) <br />DESCRIPTION OF REQDEST <br />Describe request in detail; <br />UIRED SUBMITTALS <br />Completed Application Form. <br />Certified Property Owners List of owners within 350* vyou can obtain <br />this list from Hennepin County Department of Finance A-603 Government <br />Center 348-3271) <br />Stamped, legal sized envelopes (#10) pre-addressed to each of the names <br />on the above list with no return address. <br />Certificate of survey. <br />Topographic survey (existing and proposed contours) if l^'.nd <br />alterations involve changes in elevation (grades). <br />Construction plan, if applicable (see staff for requir^ents).S#<^€Tt:^'^ <br />Plat Map. -TH-rS c^trH i,oC,/VT70rO <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 is 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 />APPLICANT'S SIGNATURE <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 incurred in review of this application, and certifies that <br />the information supplied is true and correct to the best of his/her <br />knowledge. <br />J Applicant's signature Date <br />OWNERS SIGNATURE <br />The owner hereby acknowledges and agrees to this applies, a.o.** and further <br />authorized reasonable entry onto the property by City staff, consultants, <br />aaents, commission members, and Council members for purposes of <br />investigation and ver i^caj^on o^;^his r^nest. <br />i/Owner's signature _ _ _ _ _ Date 3 _ _ _ <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.