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PRESENT USE OF PROPERTY <br />Present Zoning District �(%.�LI �S,r1: �F Fjl�ft_� <br />Present Use of Property ✓ Residential <br />Other (specify) <br />------------------------------------------------------------- -------------- <br />DESCRIP11ON OF REQUEST <br />Describe request in detail: <br />17, A_- :.�. , . - r- <br />r= .. A•'' -.A .• -%� � AST // !T•,1PrV r-ERNN4l- u.- <br />�1 1 i 1 J �_ i /1 i •n� r • :,i��- / f' ILIF � ,�'i ! � ! � 1 <br />----- r- ----- -- -___C�__ t------- `-------------------------------------- <br />REQUIRED SUBMITTALS <br />bV Completed Application Form. <br />2,! Certif ied Property Owners List of owner s within 350' (you can obtain this list <br />(/ from Hennepin County Department of Finance A-603Government Center 348-3271) <br />L� Stamped, legal sized envelopes (110) pre -addressed to each of the names on the <br />above list with no return address. <br />4. Certificate of survey. <br />5. Construction plans, if applicable. <br />VPlat 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 unusua I expenses incurred <br />in 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 ' 'l Date a. <br />r- <br />t <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 of this �equest. <br />Owner's signature 1,J Date j <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 third <br />Monday of each month. <br />