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PRESENT USE OF PROPERTY <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 />REQUIRE" ,UBMITTAI.S <br />�_� to _ed Application Form. <br />2. 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 />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 Applic n and Property Owner must sign this application. Plea-e r(-ember <br />that your application is not complete if the above information been <br />included. <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide all information ;=quired or requested by <br />the Zoning Administrator, agrees to pay all. fees and/or unusual expenses incurred <br />in reviewof this applica�ion, and certifies that the information supplied is true <br />and correct to the bey- of his/ r knowledge. <br />Applicant's signature h'� <br />Date <br />OWNERS SIGNATURE <br />The owner hereby acknowledges and agrees to this applicatiL., 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 request. <br />Owner's signature i,1� �-_ _�__ c _ _ Date Z, J <br />-------------------------------------------------------------------------- <br />Applicant must have all submittals into the City offices 25 days before the <br />Plan- ing Commission Meeting. Planning Commission Meetings are held on the third <br />Mc :,y of each month. <br />