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PRESENT USE OF PROPERTY <br />Present Zoning District <br />Present Use of Property Residential <br />k Other (specify) Gold CouCSC_ <br />--------------------------------------------------------------------------- <br />DESCRIPTION OF REQUEST <br />Describe reauest in 11detail: eens <br />4, <br />------------------------------•------------------------------.-----_---------- <br />REQUIRED SUBMITT.LS <br />1. Completed Application Form. <br />2. Certified Property Owners List of owners within 3501(you can obtain <br />this list from Hennepin County Department of Finance A-603 Government <br />Center 34871) <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 />S. Topographic survey (existing and proposed contours) if land <br />alterations involve changes in elevation (grades). <br />S. Construction plan, if applicable (see staff for requirements). <br />7. Plat Map. <br />3. As an addendum to this application, please attach a senar.ate list of <br />any other persons you wish notified of this application. <br />------------------------------------- ------------------------------------- <br />rhe applicant and Property Owner must sian this application. Please <br />remember that your application J.s not complete if the above information has <br />Lot been included. <br />----- ----------------------------------------------------------------------- <br />I tificati.-: by Zoning Department that Land Use Application is complete. <br />zoning Officials Signature <br />Date <br />--------------------- ------------------- <br />. 'LICANT'S SIGNATURE <br />'he applicant hereby agrees to provide all information required or <br />-aquested by the Zoning Administrator, agrees to pay all fees and/or <br />:nusua' Lox: -•-ises incurred in review of this application, and certifies that <br />_he i:.,,;r.Nation supplied is true an correct to the best of his/her <br />:nowledge. <br />pplicant's signature ' er,,, ,-Date 7 �4Z <br />/ <br />WNERS SIrNATURE <br />he owner hereby acknowledges and agrees to this application and further <br />uthorized reasonable entry onto the property by City staff, consultants, <br />gents, commission members, and Co ncii members for purposes of <br />zvestigation and v Z. ificati= of .hi equegt. <br />Zi� - / a.,,Date G% <br />caner' s signature ,�- - c� <br />-----------------------------------------------------; --------------- <br />.:-plicant must have all submittals into the City offices 25 days before the <br />lanning Commission Meeting. Planning Commission Meetings are held on the <br />gird Monday of each month. Applicants must be present at all scheduled <br />sview meetings of the Planning Commission and Council. If an applicant is <br />.nable to attend a scheduled meeting, please make arrangements to have an <br />uthorized agent attend in your place and advise the Building & Zoning <br />Tice of this change prior to the meting. <br />