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PRESENT USE OF PROPERTY Present Zoning District - Present Use of Property k.e �� •1 a }, Residential Ot er (specify) ---------------------------------------------------------------------------- DESCRIPTION OF REQUEST Describe request in detail: c1u P ,A� I .0 r .,AV � -� eaCiS�,Nd ,es,iri i� Inn F-, �vpaJ ,1 E a TS��d• --------------------------------------------------------------------------- REQUIRED SUBMITTALS 1. Completed Application Form. 2. Certified Property Owners List of owners within 350'(you can obtain this list from Hennepin County Department of Finance A-603 Government Center 348-3271). 3. Plat Map. 4. Certificate of survey ( ;gned by a licensed surveyor). 5. Topographic survey (.existing and proposed contours) if land alterations involve changes in elevation (grades). 6. Construction plan, if applicable (see staff for requirements). 7. As an addendum to this application, please attach a separate list of any other persons you wish notified of this application. YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR A WORKING COPY (110 X 17. OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. ---------------------------------------------------------------------------- The ,applicant and Property Owner must sign this application. Please remember that your application is not complete if the above information has not bee.-i included. -----.-..------------------------------------------------------------------- Certification by Clerical Department that Land Use Application is complete. Initials of Clerical Staff: Date APPLICANT'S SIGNATURE The applicant hereby agrees to provide all information required or requested by the Zoning Administrator, agrees to pay additional fees (staff time not covered by original fee payment) and/or unusual expenses incurred in review of this application, and certifies that the information supplied is true and correct to the best of his/her knowledge. Applicant's signature Date ✓}� _ I .4 90 OWNERS SIGNATURE The owner hereby acknowledges and agrees to this application and further authorized reasonable entry onto the property by City staff, consultants, agents, L--ommission members, and Co,inci 1 members for purposes of investigation and verification of this request. Owner's signature L <'- t' ` �='� E .- �' ` •—n. ,,.: Date ------------------------ t--------------------------------------------------- Applicant must have all submittals into the City offices 25 days before the Planning Commission Meeting. Planning Commission Me -pings are held on the third Monday of each month. Applicants must be pre: t-nt at all scheduled review meetings of the Planning Commission ar,d Council. If an applicant is unable to attend a scheduled meeting, please make arrangements to have an authorized agent attend in your place and advise the Building & Zoning Office of this change prior to the meeting.