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PRRSENT USE OF PROPERTY <br />Present 'Zoning District #965 <br />` <br />Present Use of Property - �} Residential <br />Other (specify) <br />--------------------------------------------------------------------------- <br />DESCRIPTION OF REQUEST <br />Y1 / !1 , , LJ <br />is __�VST _ z Lo'l PrcLz&v <br />-------------------------------- <br />REQU I RED SUBMITTALS' �E <br />1. Completed Application Form. <br />2. Certif ied Property Owners List of owners within 350' (you can obtain this list <br />from Hennepin County Department of Finance A-603 Government Ceu ter 348-3271) <br />3. Stamped, legal sized envelopes (f 10) 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 riot been <br />included. <br />-------------------------------------------------------------------------- <br />APPLICANT'S SIGNATURE <br />V-e applicant hereby agrc.,�s to provide all information required or requested by <br />the Zoning Administrator, agiees to pay all fees and/or unu•ival expenses incurred <br />in review of this application, and certifies that the ir►fornation supplied is true <br />and correct to the best of his/her knowledg.-. <br />Applicant's signature C, %CC Date eqf Z <br />OWNERS SIGNATURE M S 7 /'�� L 7 V, <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 Council members for purposes of investigation <br />and verification of this request.. <br />Owner's signature �_ >%�.Gf,� .`�. Dat.v _^ L.y <br />`T <br />Applicant must have all submittals into the City offices 75 clays before the <br />Plannit►rt Commission Meat ing. Planning Commission Meetings are held c,n the third <br />Mond ,v r-f earh mrintt h . <br />