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PRESENT USE OF PROPERTY <br />Present 'Loping District <br />Present Use of Property ✓ <br />Residential <br />Other (specify) <br />-------------------------------------------------------------------------- <br />DESCRIPTION OF REQUEST <br />Describe request in details <br />62 E 4 t;s_.� i t E, 4c - I SS i Gvv —m Pt1 r Ki rr N mil,' <br />/q,, _N U �, , - , ti 1-1 r i.0 )�,',_ T K'i- <br />--------------------------------------------------------------------------- <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. <br />2. Certified Property Owners List of owners within 350' ( you can obtain this list <br />from Hennepin County Department of Finance A-603Government Center 348-3271) <br />3. Stamped, legal sized envelopes (#10) pre -addressed to each of the names on the <br />above list with no return address. <br />4. Certificate of survey. w.-"h iC-c_f, <br />5. Construction plans, if applicable.- Cw %PtLE W,Ri <br />6. Plat Map. <br />--------------------------------------------------------------------------- <br />The Applicant and Property Owner must sign this application. Please remember <br />that your application is not complete if the above information has not been <br />included. <br />-------------------------------------------------------------------------- <br />APPLICANT'S SIGNATURE <br />The applicar;t hereby acirees to provide all information required or requested by <br />the Zoning Administrator, agrees to pay all fees and/or unusual expenses incurred <br />in review of this application, and certif ies that the information supplied is true <br />and correct to the best of his/her knowledge. <br />Applicant's signature — ��.il.. �l i' .(-L��.t`.� Date � ! t � 'c4 <br />OWNERS SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further <br />authorizes reasonable entry onto the property by City staff, consultants, <br />agents, commission members, and Cnuncil members for purposes of investigation <br />and verification of this request. <br />Owner's signatureAlDate yl r ��� <br />--- - - — <br />Applicant must. have all submittals into the City offices 25 days before the <br />Planning Commission Meeting. Planning Commission Meetings are held onthethird <br />Monday of each month. <br />