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PRMSENT USE OF PROPERTY Present Zoning District #965 Present Use of Property _- i Residential Other (specify) ---------------------------------------------------------------------------- DESCRIPTION OF REQUEST rl 1 0 ii _ 14 ----af---!nlj1'x,VW —r P_ -IMkC — 7RBL'F -4tvC- is _�VST - z- L-c't t3t�v -------------------------------------- - REQUIRED SUBMITTALS 4/ i3E 1 1. Completed Application Form. 2. Certified Property Owners List of owners within 350' (you can obtain this list f rom Hennepin County Department of Finance A-603 Government Center 348-3271 ) 3. Stamped, legal sized envelopes (#10) pre -addressed to each of the names on the above l.st with no return address. 4. Certificate of survey. 5. Construction plans, 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. APPLICANT'S SIGNATURE The applicant hereby agrees to provide all information required or requested by the Zoning Administrator, agrees to pay al l fees anti/or unusual expenses incurred in review of this application, and certifies that the information supplied is true and correct to the best of%his/her knowledge. / / Anplicant's signature --' ^�� G, ��`� Date _` 13` �S 7 2� , OWNERS SIGNATURE 1Lf 0 L'7V The owner hereby acknowledges and agrees to this application and further authorize•!, reasonable entry onto the property by City staff, consultants, agents, (()mnii,sion members, and Council members for purposes of investigation and vet if icat ion of this request. Owner's !..19nat ur4 _ Date I ---------------------------------------------------------------------------- Applicant must have all s-ibmittals into the City offices 25 days before the Planni nq Commission Meeting. Planning Commission Meetings are held on the third