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PRESENT USE OF PROPERTY Present Zontnq District Residential Present (Ise of Property Single family Residential Other (specify) --------------------------------------------------------------------------- nESCRIPTION OF REQUEST t)escrihe rt,quest in (let aiI Dredge out existing pond RRQUIRSD SUBMITTALS 1. Completed Application Form. 2. Certified Property Owners List of owners within 350'(you can obtain t h i s l ist f rom Hennepin County Depar t ment of Finance A-603 ''overnment Cernter 348-32)1) 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. ------------------------------------------------------------------------ Certification by Zoning Department that Land Use Application is complete. Zoning Officials Signature Date APPLICANT'S SIGIIATURE The applicant hereby agrees to provide all information required or requeste:l by the Z,laing Administrator, agrees to pay all fees and/or unusual expenses incirred in review of th s a plication, and certifies that the information sups l did is tr a and or ect to the best of his/her knowledge. 1 T 1 n� ( i i cant ' s n i gnature ��` Date OWNERS S l GN 4TURB / The owrer hereby acknowledges and agrees to this application and further authorized reasonable entry onto the property by City staff, consultants, agents, commission members, and Coun,:il members for purposes of investigation and verification of this request. A►ner's signatur Date 1 - —s. -- - -- - Applicant must have all submittals into the City offices 25 days before the Planning Commission Meeting. Plannir.q Commission Meetings are held on the third Monday of each month. Applicants must be present at al: scheduled review meetings of the Planning Commission and Council, and, if an applicant is unable to attend a scheduled weetinq, to please make arrangements to have an authorized agent attend in your place and to advise the building t "oning Office of this change prior to the meeting.