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a �- <br />PRESENT USE OF PROP!:RTY <br />Present Zoning District <br />Present Use of Property <br />Residential <br />%\ Other (specify) <br />----------------------------- -------------------------------------------- <br />DESCRIPTION OF REQUEST <br />Describe request in detail: .a-� �y•zL r..�.,� <br />-------------------------------------------------------------------•-------- <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, li,4al sized envelopes (#10) p-e•-addressed to each of the names <br />on the above list with no return address. <br />4. Certificate of survey. <br />'. Topographic survey (existing and proposed contours) if land <br />alterations involve changes in elevation (grades). <br />6. Construction plan, if applicable (see staff ''or 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 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/cr <br />unusual expenses inc7urred in review of this application, and certifies that <br />the information sun;rl-:d is true and correct to the best of his/her <br />knowledge. <br />Applicant's signatur\� �\� \ ( \ Date <br />OWNERS SIGNATURE <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. :ommission members, and Council members for purposes of <br />investig"Lion and verification of this request. <br />Owner's signatureZ2A1A1;&/! z' • Date <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 man. . rangements to have an <br />authorized agent attend in your place and advise the Building & Zonin1 <br />Office of this change prior to the meeting. <br />