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�_�_(((i7,,,,,,,,,,(((•• a
<br />PRESENT USE OF T
<br />Present zoningning DDi ict
<br />Present Use of Property Residential
<br />Other (specify) AW)-Cex,(pke,�
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<br />DESCRIPTION OF REQUEST
<br />Describe request in detail: _-?k,4T��oea<sd �orsac�
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<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 Department of Finance A-603 Government i
<br />Cernter 348-3271)
<br />3. Stamped, legal sized envelopes (#10) pre -addressed to each of the names
<br />on the above list with no return address.
<br />4. Certificate of survey.
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<br />5. Construction plan, if applicable. f
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<br />�. Plat Map.
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<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. !
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<br />Certification by Zoning Department that Land Use Application is complete. i
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<br />Zoning Officials Signature Date
<br />APPLICANT'S SIGNATURE
<br />The applicant hereby agrees to provide all information required or
<br />requested by the Zoning Administrator, agrees to pay all fees and/or
<br />unusual expenses .ncurred in review of this application, and certifies that
<br />the information rapplied is true and cor_ect to the best of his/her
<br />knowledge.
<br />i
<br />Applicant's signatu,, �_ ( � ?'�— Date 1-,; 7 F/
<br />OVr'7RS SIGNATURE
<br />TL_ owner hereby 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 Date
<br />Applicant must hare, ,-.I1 rubrrittal:; into the City offi;es 25 days Before the
<br />Flauning Commir,ion rlonnirr, Commission Meetings are held on the
<br />third Norday of each •mont h. TF'Plicantc must ha present at all scheduled
<br />reci,, r•cetingc of tho r'I,nn i�,q Cer•-i r. s i on and reunci 1, and, if an
<br />a pp lr,'a nt i:. un ihlc h• :rt t, -nI :, ..,-h,- uled meoti nq, to please make
<br />.Irrarjgemc nts to h.,vc ,r, .uthr•r l:7fd .nu:nr ,,,tern iri your pia and to advise
<br />L ;ldi nq 6 l ,'I f 1,. .,f tLit. cl, n,i%• ,•ior to the rr., cting.
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