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PRESENT USE OF PROPEPTY <br />Present Zoning District <br />Present Use of Property Residential <br />Other (specify) (ate, .,� <br />DESCRIPTION OF REQUEST <br />Describe requestdetail: G + " ,inn <br />REQUIRED SUBMITTALS <br />Completed Application Form. <br />2. Certified Property Owners List of owners chin 350' (you can obtain this list <br />from Hennepin County Department of Financt_ A-603 Government Center 348-3271 ) <br />3. Stamped, legal sized envelopes (#10 ) pre -addressed to each of the names on the <br />above list with no return address. <br />4. Certificate of survey. <br />/ Construction plans, if applicable. <br />6. Plat Map. <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 beer. <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 pay al l fees and/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 Da 5 1 3j, �S <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 Council members for purposes of investigation <br />and v6rification of is request <br />Owner's 51At%AC , / Date, <br />r <br />Applicant must .have all submittals into the City offices 25 days before the <br />Planning Commission Meeting. Planning Commission Meetings are held on the third <br />Monday of each month. <br />