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PRESENT USE OF PROPERTY <br />Present Zoning District <br />Present Use of Property X Residential <br />Other (specify) <br />---------------------------------------------------------------------------- <br />DESCRIPTION OF REQUEST <br />Describe request in detail: Fk-7TFrc HAD <br />--------------------------------------------------------------------------- <br />j=UIRED SUB1ITTALS <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 aicd proposed contours) if land <br />alterations involve changes in elevatio• (grades). <br />6. Construction plan, if applicable (sec s' ff for requirements). <br />7. Plat Map. <br />8. As an addendum to this application: u_eastz! attach a separate list of <br />any other persons you wish notified cL this application- <br />------------------------------------------------------------------------------ <br />The applicant and Property w(,er must sign this application. Please <br />remember that your application ;.s not complete if the above information has <br />not been included. <br />-------------------------- <br />Certification by Zoning Department that La.1d Use Application is complete. <br />Zoning Officials Signature _ _ _ Date <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide a:.l i.nformation 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 />I <br />Applicant's signature I. �� I-^ - Date <br />OWNERS :;.LGNATURE <br />The owner hereby acknowledges and agrees to this application and further <br />authorized reasonable entry onto the p-ooerty 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 1, c 1'-�� `_ - Date <br />---------------------------------------- ------------------------------------ <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. Appiicants 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 6 Zoning <br />Office of this change prior to the meeting. <br />