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PRESENT USE OF PROPERTY <br />Present Zoning District <br />Present Use of Property Residential <br />Other (specify) <br />------------------------------------------------ -------------------------- <br />DESCRIPTION OF REQUEST <br />Describe`/ request in detail: <br />(1 4LI1,2d I del Ht X /I r <br />min <br />-------------------------------------------------------------------------- <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 ( f10) pre -addressed toeach 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. : ­:e remember <br />that your appl.4.cation is not complete if the above informatic as 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 payallfeesand/or unusual expenses incurred <br />in reviewof this application, and certifies that the information supplied is true <br />and correct to the best of his/her knowledge. <br />Applicant's signature f ('`r 4 Date S lb)LY5 <br />OWNERS SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further <br />duthorizcs 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 ti' 7;1 i a Date 1- 1 <br />-----------------------'--------------------------------------------------- <br />Applicant must have a17 iubmitta1s into the City offices 25 days before the <br />Planning Commission Meeti,ig. Planning Commission Meetings are h,,ld on the third <br />Nc nday of each month. <br />