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PRHSENT USE OF PROPERTY Present Zoning District R-1 Present Use of Property X Residential Other (specify)_ --------------------------------------------------------------------------- o'DESCRIPTION OF REQUEST Describe request in detail: See attached REQUIRED SUBMITTALS 1. Completed Application Form. 2. Certified 1roperty Owners List of owners within 350' (you can obtair this list from Hennepin County Department of Finance A-603 Government Cernter 348-3271) 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 Jse Application is complete. Zoning Officials Signature 1':ate --------------------------------- •-------------------- ------------------ APPLICANT•S SIGNATURE The applicant hereby agrees to provide all information required or requested by the Zoning Administrator, agrees to pay all fees and/or unusual expenses incurred in review of this application, and certifies that the information suppli d is true d correct to the best of his/her knowledge. Applicant's signature Date q ' o q- b1 OMMiR8 SIGNATURN The owner hereby acknowledges a agrees to this application and further authorised reasonable entry onto the property by City staff, consultants, agents, commission members, and Council members for purposes of investigation and ver icaticr o is request. G Ow r /i We Date ners signature �� _`"-� -----------------------------------Gc-G------------- --- -- ----- Applicant must 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 month. Appl icant s must be present at a I I schedu I ed review meetings of the Planning Commission and Council, and, if an applicant is unable to attend a scheduled meeting, to please make arrangements to have an authorised agent attend in your place and to advise the Wilding i Zoning Office of this change prior to the meeting.