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PRESENT USE OF PROPERTY L `� <br />Present Zoning District <br />Present Use of Property X Residential <br />Other (specify) <br />--------------------------------------------------------------------------- <br />DESCRIPTION OF REQUEST <br />Describe request in detail: ��-E°�c �c-n Ty F�iTAc t-}D <br />L-e-TEf— <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 Hennepin County Department of Finance A-603 Government <br />Center 348-3271) <br />3. Stamped, legal sized envelopes (#10) pre -addressed to each of the names <br />on the above list with no return address. <br />4. Certificate of. survey. <br />5. Topographic survey (existing and proposed :ontours) if land <br />alterations involve changes in elevation (grades). <br />6. Construction plan, if applicable (see staff for requirements). <br />7. Flat Map. <br />8. As an addendum to this application, please attach a separate list of <br />any other persons you wish notified of this application. <br />---------------------------------- ----------------------------------------- <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 />--------------------------------------------------------------------------- <br />Certification by Zoning Department that Land Use Application is complete. <br />Zoning Officials Signature Date <br />------- --------- -----------------------------------------------------•------ <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 />�� � -� <br />Applicant's signature Date J",A.z �� � �'�-- <br />OWNERS SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further <br />authorized reascnable entry onto the property by City staff, consultants, <br />agents, commission members, and Council members for purposes of <br />investigation and vim' f ication of his request. <br />owner's signature 1 ( ZED Date <br />-------------------------- ---------------------•---------------------------- <br />Applicant must have all submittals into the City offices 25 days before the <br />Plannir_3 Commis.3ion 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 & Zoninq <br />Office of this change prior to the meeting. <br />