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PRESENT USE OF PROPERTY Present Zoning District Present Use of Property _ Residential Other (specify) ---------------------------------------------------------------------------- DRSCRIPTION OF REQUEST Describe request in detail: l.�uJ_1i�(.V taint��/NZ L"1A --------------------------------------------------------------------------- RRQUIRRD SUBMITTALS 1. Completed Application Form. 2. Certified Property Owners List of owners within 3501(you can obtain this list from Hennepin County Department of Finance A-633 Government Center 348-3271) 3. Stamped, legal sized envelopes (#10) pre -addressed to each of the names on the above list with no return address. 4. Certificate of survey. 5. Topographic survey (existing and proposed contours) if land alter-itions involve changes in elevation (grades). 6. Construction plan, if applicable (see staff for requirements). 7. Plat Map. 8. As an addendum to this application, please attach a separate list of any other persons you wish notified of thi3 application. ------------------------------------------------------------------------------ The applicant and Property Owner must sign this application. Piease remember that your application is not complete if the above information has not been included. ---------------------------------------------------------------------------- Certification by Zoning Department that Land Use Application is complete. Zoning Officials Signature Date APPLICAUT'S SIGUATURE The applicant hereby agrees to provide all information required or requestea by the Zoning Administrator, agrees to pay all fees and/or unusual expenses incurred in review of this application, and certifies that the information supplied is true and correct to the beet of his/'per knowledge. Applicant's signature Date ;its}'% OWNSM SIGNATURE The owner hereby acknowledges and agree,-• to this application and further authorized reasonable entry onto the property by City staff, consultants, agen,-s, commission members, and Council members for purposes of investigation and verification of this request. Owner's signature j L, ;�} ) 1 Date ---------------------------------------____------------------------------- Applicant must have all submittals into the City offices A25 days before the Planning Commission Meeting. Planning Commission Meetings are held on the third Monday of each month. Applicants must be present at all scheduled review a. -stings of the Planning Conwission and Council. If an applicant is unable to a,L,ita scheduled meeting, please make arrangements to have an authorized agent att4nd in your place and advise the euildieq i Zoning Office of this change prior to the meeting. IN