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PRESENT USE OF PROPERTY <br />Present Zoning District <br />Present Use of Property <br />Other <br />Residential l <br />(specify) <br />-------------------------------------------------------------------------- <br />DESCRIPTION OF REQUEST <br />Describe request in detail: ��r a,1, <br />110 r c�ive <br />ry ii0 � <br />w / ! a <br />kye . <br />/ � i C v►' a e r n N/ � i"ih <br />--_OT �it.C/� /• { /I1 ),.Vr /-1 -to <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 ( N10) 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 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, agreesto payal.lfeesand/or unusual 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 Date <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 C-uncil members for purposes of investigation <br />and verification of this request. <br />Owner's signature Date <br />-------------------------------------------------------------------------- <br />Applieant must have all submittals into the City offices.25 days before the <br />Planning Commission Meeting. Planning Commission Meetings are helc]onthe third <br />Monday of each month. <br />