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OTHER APPLICATIONS - CONT. <br />$250.00 Rezoning <br />$200.00 Appeals <br />X Other - see fee schedule <br />-----_____------ ---___ <br />PRESENT USE OF PROPERTY <br />Present Zoning District <br />Present Use of Property Residential <br />Other (specify)jC&djjjMd Rua([V40f <br />----------------------------- <br />DESCRIPTION OF REQUEST <br />Describe request in detail: see Attached <br />-"""-------------__________________________________________________"'-- <br />REQUIRED SUBMITTALS <br />1. Completed Application Form. <br />2. Certified Property Owners List of owners within 350' (you can obtain <br />this list from Hennepin County Departmert of Finance A-603 Government <br />Cernter 348-3271) <br />3. Stamped, legal sized envelopes (i10) pre -addressed to each of the names <br />on the above list with no return address. <br />4. Certificate of survey. — r ti F14-d! a,/0A0JO <br />5. Construction plan, if applicable. <br />6. Plat Map. <br />___________________________________________________________________________ <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 />-""--------------------------------------------------------""----"'---- <br />APPLICANT'S SIGNATURE <br />The applicant hereby aorees to provide all information required or <br />requested by the Zoning administrator, agrees to pay all fees and/or <br />unusual expenses incurred in review of this application, and certifies that <br />the information supplied is true and correc to the best of his/her <br />knowledge. <br />Applicant's signature / 'T� —Date In; zz� y(�, <br />OWNERS SIGNATURE <br />The owner h^reby acknowledges and agrees to this application and further <br />authorized reasonable entry onto the property by City staff, consultants, <br />agents, commission members, and Council members for purposes of <br />investigation and verification of this request. <br />Owner's signature C,.a_ L_.L�,pDate 2- $ <br />____________________-�_ -- <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. <br />