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PRESENT USE OF PROPERTY -� PreFant Zoning District Present Use of Properc Residential Other (specify)�j � 1 SIAd�' 142 -------------------------------------------------------------------------- DESCRIPTION OF REQUEST � Describe request in detail: 1;,%C1r AA I- r A IAA o, A. is AUV: 01V L._- 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 Cernter 348-3271) 3. Stamped, legal sized envelopes (#10) pre -addressed to each of the names on the above list with no return address. 4. Certificate of survey. 5. Construction plan, if applicable. 6. Plat Map. --------------------------------------------------------------------------- The applicant and Property Owner must sign this application. Please remember that your application is not complete: if the above information has not been included. ---------------------------------------------------------------------------- Certifi.cation by Zoning Department that !and U,3e Application s complete. Zoning Officials Signature _ Date APPLICANT'S SIGNATURE The applicant hereby agrees to provide all information required or requested by the Zoning Administrator, agrees to pay all fees and/or unusual expenses incurred its -evie.r of this application, and certifies that the information suppl-ed ij�.�rue and correct to the best of his/her knowledge. % Applicant's signature, f/ ,-. '=- P-it e OWNERS SIGNATUTAR j The owner hereby acknowledges and agrees to this application and further authorized reLsonable entry onto the property by City staff, consultants, agents, commission members, and Council members for purposes of investigation at,d ver' ication .;of thi 'request. C Owner's signature ` - Date Applicant must ha a all submittals into the City offices 25 days before the Planning Commiss on Meeting. Planning Commission Meetings are held on the third Monday of each month. Applicants must be present at all scheduled review meetings of th^ Planning Commission and Council, and, if an applicant is unable to attend a scheduled meeting, to please sake arrangements to have an authorized agent attend in your place and to advise the Building i Zoning Office of this change prior to the meeting.