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PRESENT USE OF PROPERTY <br />Present Zoning District <br />Present Use of Property <br />R I /a <br />m <br />Residential <br />Other (specify) <br />------------------------------------------------------------------- <br />DESCRIPTION OF REQUEST <br />Describe request in detail: !���. ,,� (L(.q,QA- a Ltj4 ,i,,,�r�� %u.�•� <br />�[l" �Nll�1A �Ial,. �I' Cf7tl1 lf< • )- C <br />------------.--.----.----------------------------_--------------------- <br />REQUIRED SUBMITTALS <br />Completed Application Form. <br />c�rtif ied Property Owners List of owners within 350' (yo•.j can obtain this list <br />from Hennepin County Department of Finance A-603Government Center 348-3271) <br />%hot &%t- d 10,A- 3h. r <br />Stamped, legal sized envelopes (#10) pre -addressed to each of the names or, the <br />above list with no return address. <br />J' Certificate of survey. <br />5. Construction plans, if applicable. <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 applicant hereby agrees to provide all information required or requested by <br />the Zoning Administrator, agrees to pay all fees and/or unusual expenses incurred <br />ir, review of this application, and certifies that the information supplied is true <br />and correct to the best of his/her knowledge. <br />Applicant's signature `00 <br />g F Date <br />%Cis` •�/. ti.! <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 Council members for purposes of investigation <br />and verification I this request. <br />vwnEr"s signature _ ^_ mate <br />- <br />Applicant must have all submittals into the City offices 25clays before the <br />Planning Commission Meeting. Planning Commission Meetings are held on the third <br />::unday of each rroonth. <br />