1998-02-10 Zoning Request
CITY OF ALBERTVILLE
ZONING REQUEST APPLICATION
.
5975 Main Avenue NE
P.O. Box 9
Albertville, MN 55301-0009
(612) 497-3384 fax(612) 497-3210
Case No:
Base Fee:
Escrow Amt:
Date Filed:
Pd.
Pd.
Please read carefully and answer all questions thoroughly. Only complete applications will be accepted
after validation by the City Clerk and prior to acceptance of required processing fees/deposits. .
Street Location of Property:
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Legal Description of Property
(Attach additional sheet if necessary):
Owner:' Name:
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Address:
City:
State:
Zip:
Telephone (Home):
(Business) :
(Fax):
Applicant (If other than owner):
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City: . ;jnt ~f:t State: /111/
Name:
Address:
Zip: .6?~~
(Fax): 757 *1'L-
Telephone(Home) :
(Business): 1S7 9tf!~
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Variance
Conditional Use Permit
Interim Use Permit
Other
Type of.Request(~):. (A~AAf fh fJldJ
Site and BUIldmg 'pla;~iew
Minor Subdivision/Consolidation
~ Preliminary Plat
--'S- Final Plat
Comprehensive Plan or
Ordinance Amendment
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Description of Request(s):
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Page Two, City of Albertville Planning/Zoning Application
Reason Why Request Should Be Granted:
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Existing Use of the Property I Nature of Facility or Business: A-j
If a request for a planning/zoning action on the subject site or any part thereof has been previously
sought, please describe it below:
What?
pI/a ~d If~7
When?
Project Name, if applicable:
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I hereby apply for the above consideration and ~eclare that the information and materials submitted with
this application are in compliance with City Ordinance and Policy Requirements and are complete and
accurate to the best of my knowledge.
I understand that the application will be processed for the next available meeting agenda after review of the
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 this
request are the responsibility of the property owner and/or applicant and should be promptly paid. If
payment is not received from the applicant, the property owner acknowledges and agrees to be responsible
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 the
owner to make application.)
Signature(s) of Owner(s):
tJlp
Date:
Date: ~b/9f,
Date:
Date:
Signature(s) of Applicant(s):
Approved_ Denied_ by the Planniqg Commission on:
(date)
Approved_ Denied_ by the City Council on:
(date)