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PRESENT USE OF PROPERTY Present Zoning District TR - ic' Present Use of Property Residential Other (specify) ------------------------------------------------------------•-------------- DRSCRIPTION OF REQUEST Describe request in detail: see atrvehed Exhibit "A" ----------------------------------------------------------------------------- REQUIRED SUBMITTALS 1. Completed Application Form. 2. Certified Property Owners List of owners within 3�0' (you can obtain this list from Hennepin County Department of Finance A-603Government Center 348-3271) 3. Stamped, legal sized envelopes (N10) pre-addre-sed to each of the names on the above list 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, agreestopayallfees and/or nusual expenses incurred in review of this application, and certifies that the in ormation supplied is true and correct to the best of 1%/her edge. Applicant's signatures Date 4/25I85 OWNERS SIGNATURE The owner hereby acknowledges and agrees to this application and further authorizes reasonable entry onto the property by Ci staff, consultants, agents, commission mend ers, and Cou ail m ers for pu oses of investigation and verification of t s request. Owner's signaAure 1�%1Lll, rL'�"1�__ Date 4/25/95 --------------- 1Z m t have all submittals into the City offices 25 days before the Planning Commission Meeting. Planning Commission Meetings are held on the third Monday of each mont.h.