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PRESENT USE OF PROPERTY <br />Present Zoning District <br />Present Use of Property Residential <br />Other (specify) 5~c'.:2 01;c.• ------------------------------------------------------------------------------------ <br />DESCRIPTION OF REQUEST , <br />De~9ribe request in detail: ·..;_;;;._,;..'-'--',,,.....--e~x~1~s'--..,......~--,-....----.-....;;...~-,---..-- <br />i.<I L d l.f /I) e w S i-4 ffl ,n e ,I'( 15 i rl ,s e, :;J s o,I):? .., ,; ;,., :1 /e-II <br />A Neu,; A/Jet{(!)Ut!!c/ Se:JCl,'c svsh,,..., ci};v' 1.N-::I(, <br />------1r--a.~-;.,Tdfno~~1-~£;-;r;,~~~-~~-i:,r;;.7nf1~1J"-=f"/l'e-.p~~;r~tu~~-P~s7N7E;F, ________ _ <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. <br />2. Certified Property Owners List of owners within 350' (you can obta. <br />this list from Hennepin County Department of Finance A-603 Governme <br />Center 348-3271). <br />3. Plat Map. <br />4. Certificate of survey (signed by a licensed surveyor). <br />5. Topographic survey (existing and proposed contours) if land <br />alterations involve changes in elevation (grades). <br />6. Construction plan, if applicable (see staff for requirements). <br />7. As an addendum to this application, please attach a separate list of <br />any other persons you wish notified of this application. <br />YOU ARE REQUIRED TO SUPPLY 30 COPIES OF LARGE DOCUMENTS OR <br />A WORKING COPY (11• X 17• OR SMALLER) FOR ALL DOCUMENTS SUBMITTED. <br />The applicant and Property Owner must sign this application. Please <br />remember that your application is not complete if the above information has <br />not been included. <br />Certification by Clerical Department that Land Use Application is complete. <br />Initials of Clerical Staff: ________________ Date _______ _ <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide al 1 information required or <br />requested by the Zoning Administrator, agrees to pay additional fees (staff <br />time not covered by original fee payment) and/or unusual expenses incurred <br />in review of this applic;r.·t· ion/ and certifies that the information supplied <br />is true and correct to t~je , ¢st of his/her knowledge. <br />Applicant's signature <br />10 <br />·~~-· Date /0 /42/t:i ?_ <br />OWNERS SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further <br />authorized reasonable entry onto the property by City staff, consultants, <br />agents, commission ~embers., and Council members for purposes of <br />investigation and ver'f' tion of this request. <br />/ <br />Owner's signature Date <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 <br />third Monday of each month. Applicants must be present at al 1 scheduled <br />review meetings of the Planning Commission and Council. If an applicant is <br />unable to attend a scheduled meeting, please make arrangements to have an <br />authorized agent attend in your place and advise the Building & Zoning <br />Office of this change prior to the meeting.