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1..GSENT USE OF PRO11Ek7'Y <br />Present 'Zoning District <br />Present Use of Property <br />Residential <br />Other (specify) <br />-------------------------------------------------------------------------- <br />DESCRIPTION OF REQUEST <br />Describe request in detail: <br />-------------------------------------------------------------------------- <br />REQUIRED SUBMITTALS <br />I. Completed Application form. <br />Certified Property Owners List of owners within 350' (you can obtain this list <br />f rom Hennepin County Department of Finance A-603 Government Center 348-3271) <br />s . 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 />6. Plat v.. -). <br />------------------------------------------------------------ -------------- <br />The :,pplicant and . operty 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 SIG:1A1'Ukr' <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 />in review of this application, and certif ies that the information supplied is true <br />and correct to the Jb o�is/her kn4y�edge. <br />Applicant's signa <br />OWNERS SIGNATURE <br />I/ <br />Date f�1 <br />The owner herby a nowledges and agrees to tt, pplication and further <br />authorizes re 1 n� onto the property by City staff, consultants, <br />agents, commission m mbers, and Council members for purposes of investigation <br />and verification of his r quest. <br />Owner's signature _ Date / �9 <br />Applicant mutt yr all sut�mittals into the City offices 25 days-LcIoLe the <br />leienn•ing Commission Meetinyl Plnnning Commission Meeting% are held tm the -third <br />V . ' r t-' <br />