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PRESENT USE OF PROPERTY <br />Present `boning District <br />Present Use of Property Residential <br />IV Other (specify) [ate <br />--------------------------------------------------------- ---------------- <br />DESCRIPTION OF REQUEST <br />Describe request in detail: r3i <br />C p 014=d 1 o0'x urn• <br />-------------------------------------------------------------------------- <br />REQUIRED SUBMITTALS <br />f " 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 (#t10) 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 />-------------------------------------------------------------------------- <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 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, agreestopayall fees and/orunusualexpenses incurred <br />in review or this application, and certifies that the information supplied is true <br />a -id correct to the best of his/her knowledge. <br />Applicant Is signature d� W��i, -tbc to 5 yp '? a t <br />OWNERS SIGNATURE <br />The owner hereby acknowledges and agrees to this appli-ation and further <br />authorises .reasonable entry onto the property by City staff, consultants, <br />agents, commission members, and Council members for purposes of investigation <br />and vlrificatlbn,oi is request <br />r <br />` <br />- ' S 3 �rx' Owner's sits 3e . Date <br />-----n•---------------.----------------------------------------------------- <br />Applicant must.heve 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 />