2002-03-20 Zoning Request Application11 CITY OF ALBERTVILLE ■
5975 Main Avenue NE
P.O. Box 9
Albertville, MN 55301-0009
(612) 497-3384 fax(612) 497-3210
ZONING REQUEST APPLICATION
Case No: cec --I' & 3 _
Base Fee: 10 Pd. 3 Qy
Escrow Amt: .3�O Pd. 3 c�
Date Filed: ,20 Z
Please read carefully and answer all questions thoroughly. Only complete applications will be accepte,
after validation by the City Clerk and prior to acceptance of required processing fees/deposits.
Street Location of Property:
Legal Description of Property
(Attach additional sheet if necessary); 9�6 A t G H C- b
Owner: Name: Bernard J. Roden & Judith A- Roden, a-s—tr-,astes of bfit=
Bernard J. Roden Revocable trust and as trustees of the
Address: Judith A. Roden Revocable trust
/ D q�} / s'% s T, Al-
City: State: An 1 ,v,y Zip:
Telephone (Home): qq,7' , (Business): (Fax):
Applicant (If other than owner):
Name: I h w 101AU�al- — bo-e
�w46
Address: Ad- 6 .
City: Elk Rwle� State: /� Zip:
Telephone(Home):
4
Type of Request(s):
Site and Building Plan Review
Minor Subdivision/Consolidation
Preliminary Plat
Final Plat
Comprehensive Plan or
Ordinance Amendment
Description of Request(s):
/A 0u��-� t�(L P ��
(Business): 712- V W ` MD (Fax): ?/�i'' �!l � ,
/\ Rezoning
Variance
Conditional Use Permit
Interim Use Permit
Other
-G�Ov' r6Yv 67 S 6 chi wo 1 ov �'�` °`'"1jia
Cb rw►-Gt,a�l ,A �o r � r A-A.1 P 1,��' r- ,Q � r—r,;► l le, ,$� s ���► ass P'l—
Page Two, City of Albertville Planning/Zoning Application
Reason Why Request Should Be Granted: u-e-T t tti
6 L'ALA& i-"i ' � scmrl
v U '
Existing Use of the Property / Nature of Facility or Business: &fvW1-L11A
If a request for a planning/zoning action on the subject site or any part thereof has been previousl
sought, please describe it below:
What?
When?
Project Name, if applicable:
I hereby apply for the above consideration and declare that the information and materials submitted wii
this application are in compliance with City Ordinance and Policy Requirements and are complete ar
accurate to the best of my knowledge.
I understand that the application will be processed for the next available meeting agenda after review of tl
information submitted to determine if any other data is needed and after completion of a staff report.
I understand that all City incurred professional fees and expenses associated with the processing of th
request are the responsibility of the property owner and/or applicant and should be promptly paid.
payment is not received from the applicant, the property owner acknowledges and agrees to be responsib
for the unpaid fee balance either by direct payment or a special assessment against the property.
(If the property fee owner is not the applicant, the applicant must provide written authorization by t:
owner to make application.)
Signature(s) of Owner(s): i( , ...«t �' Date: :Z hZt) 0
Date: C�
Signature(s) of Applicant(s): Date:
Date:
Approved Denied by the Planning Commission on:
(date)
Approved Denied by the City Council on:
(date)