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PRESENT USE OF PROPERTY <br />Present Zoning District <br />Present Use of Property Residential <br />Other (specify) <br />-------------------------------------- ------------------------------------ <br />DESCRIPTION OF REQUEST <br />Describe request in detail: <br />--------------------------------------------------------------------------- <br />REQUIRED SUBIKITTJ.LS <br />1. Completed Application Form. <br />2. Certified Property Owners Li:3t of owners within 350' (you can obtain <br />this list from Hennepin Cos: -1-y 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 contours) if land <br />alterations involve changes in elevation (grades). <br />6. Construction plan, if applicable (see staff for requirements). <br />7. Plat 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 applica-ion. 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 inform:-tion required or <br />requested by the Zoning Administrator, agrees to ., all fees and/or <br />unusual expenses incurred in review of this applicati, ;•nd certifies that <br />the information supplied is true and correct to +: best of his/tier <br />knowledge. <br />Applicant's signature ��.1^'Kx'Y Date I2_ Z8,1 <br />OWNERS SIGNATURE �' 'r S ! `�— 1 L - L4 - b ) <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 i<<embers, <<nd Council members for purposes of <br />investigation and verific tion of this request. <br />Owner's signature ��, �_ t, (9�.— Date f L Z- A87 <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. 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 & 7,oning <br />Office of this change prior to the meeting. <br />