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ENT USE OF PROPERTY <br />Present Zoning District <br />Present Use..pf Plrgperty Resid,.ntijl <br />_ Other (specify)&a,tj <br />�� <br />F------------------------ <br />RIPTION-OF-REQUEST <br />' Describe <br />t in detail: ? /n <br />C �� - <br />�— <br />- --------------------- ----------------- <br />]IRED SUTIMITTALS <br />Completed Application Form. <br />Certified Property Owners List of owners within 350' (you can obtain t)- s liL <br />from Hennepin County Department of Finar:ce A-603 Governn t.nt Cc,-,,,er 34b -71 > <br />Stampec , legal sized envelopes ( O) pre-addre: ­ �:t­each o.i the name on the <br />above list with no return address. <br />'Certificate _f survey. <br />ICons tru.t ,,. �.. '11L, if applicable. <br />JPlat Map. <br />------------------------------- <br />[uded <br />ppli--ant and Property r:wner must sigr <br />o:.r applica�( ion is aot complete ii <br />. <br />----------------- <br />... Please remember <br />,rrnat :on has not been <br />11CAV_. S Slr„ATURF------------------ <br />- . __ - . -- - ------------------------ <br />`pp' , , nt -jel eby agrees *o provide all information i - quired orrequested by <br />=oni Aministrat -, agret.s to pay all fees and/or ur asual expenses incurred <br />:view of '-is application, and certifies th . V► informations supplied is true <br />correct t.a the best of his /her knowledge. <br />if-ant's s.igna' ...)44e_ <br />Date <br />-T— <br />tS SIGN JRE <br />owner hereby acknowledges and agrees to this application and furti . <br />c:izes reasot.able entry onto the r operty by City staff, consultan s, <br />is •. commission me,,,.)ers, and Cwuncil members for pu,-poses of iirvestiga' ion <br />verification of this request. <br />,r <br />'s s.gnat.re r?-7C;,' l'a t .7 -4� A <br />.G Da F <br />--------------- <br />------------- / _ _ _ <br />'giant must have a'.? submittals into the City offices 25 da�-s before the <br />i rig Cummi :;s.on Mev ing- Planninq Commission Meeti:, _s are he-ld on the third <br />=y Of ea . , :ronth. <br />