2002-11-19 Zoning AppFROM :-CITY OF ALBERTVILLE FAX NO. : 7634973210
F -c ff—YOF ALBERTVHLE ■ ZONING
5975 Main Avenue NE
P.O. Box 9
Albertville, MN 55301-0009
(612) 497-3384 fax(612) 497-3210
Nov. 19 2002 03:47PM P2
T APPLICATION
Case No:
Base Fee: Pd.�
EscrowAmt: Pd.
DateFacd:
Please read carefully and answer all qucstlons thoroughly. Only complete; applic4ons will be accepted after validation by
the City Clark and prior to aoocptanx of required processing fees/deposits.
Street Location of Property:
Ugal Description of Property
(Attach additional sheet if necessary): Z,07-
Owner--N==—,
JD -0.,. r,
Address:
City. 1EL A N 0 State: zip, -S -s
Telephow Wiom).- I Z -Y (BtShm): 7&1 -,c) 7,? Z. (Fax),
Applicant (if other than owner). -
Name:
City, State:
TelepboWHome):
Type of Request(s):
Site and Building Plan Review
Minor Subdivision/Consolidation
Preliminary Plat
Final Plat
ComprChensive Plan or
Ordinance Amendment
Zip:
(Business): -- - (Fax):
Rezoning
Variance
>< Conditional Use Permit
Interim Use Permit
Other
Description o(Request(s): L PA e K I NA
* ' r I , ,
Reason why Request Should Be Granted: -S&ILLS 136,r,
)-j
FROM :-CITY OF ALBERTVILLE
• FAX NO. : 7634973210 Nov. 19 2002 03:48PM P3
page Two, City of Albertville PlamingrZ,oning Application
Existing Use of the Property / Nature of Facility or Business:
�TAiv
If s request for a planning/aonting adios on the subject site or any part thereof has been previously sought, please
describe it behove:
what?
When?
Project Nacn- dapplicable:
I herabY apply for the above conskWurwn and declare that the inbrmatwn and materials submitted with thin application
are in compliance with City Ordinance and Policy Requirements and are complete and accurate to the best of my
kwwledge
I understand that theapplication will be processed for the next available meeting agenda after review of the information
submitted to derermi re ff any other data is needed and after completion of a staff report.
1 understand that all City incurred professional fees and expenses associated with the processing of this request are the
responsibility of the property owner an&vrappikant and should be promptly paid 1f payment is not received from the
applicant, the property owner ackwwledges and agrees to be responsible for the unpaid fee balance either by direcr
payment or a special assessment against the property.
(If the property fee owner is not the applicant, the applicant must provide written authorization by the owner to make
application.)
Silty (60) Day waiver: ?he City hereby nottf es the applicant that development review may not be complied within the
required 60 days due to public hearing requiremena agency review; therefore, the City is taking an automata 60-
day emersion, for development reWex Deydopmmt will be completed Within 120 days xnless additional review
exf=ions are approved by dw applicant: //
Signature(s) of
Signature(s) of
Approved
Approved
Date:
�-
Date:
Date:
Date:
Denied by the Planning Commission on;
• (date)
Denied by the City Council on.
(date)