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2003-04-16 Zoning Requests +~ CITY OF ALBERTViLLE ^ ZONING VEST APPLICATION 5975 Main Avenue NE P.O. Box 9 Albertville, MN 55301-0009 (612) 497-3384 fax(612) 497-3210 Case No: Base Fee: Pd Escrow Amt: Pd DateFi7~ed: Please read carefully and answer all questions thoroughly. Only complete applications will be aaxptcd after validation by the City Clerk and prior to acceptance of required processing fees/deposits. Street Location of Property: ©o O L. ~. ~ e~~ x ~ vc /~. begat Description of Property (Attach additional sheet if necessary): Owner: Name: City. State: Telephone (Home): (Business): ~~ '" y q ~ -: _~~(Fax): Applicant (If other than owner): Name• ~ " ~~~ Zip: . ~-~~ ,~ Aaaress: 5 ~o l Z._- J~Q~~ S ~ , / - ~ ~ ~."~ e~~ state• 11''~ ~ 7~ip: S S~7 ~° City. Telephone(Home): ~ ~3 y~ ~ 33 ~' ~' (Business):.~~" ~l ~i7 - ~`r ~ (Fax): 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): ~`-~ ©`~`` ~~ ~~ Reason Why Request Should Be Granted: ~ ~ ~©~~~ \\~C ~ ~-~` ~`~'~'' Lodi Zile I r~~+..~ _c~....~..A Rezoning Variance Conditional Use Permit Interim se P t ~~ Other ~~~ C-K P Page Two. City of Albertville Planning/Z,oning Application F.xis ' Use of the Pro rt /Nature of Facility or Bu.4iness:~ ~~^~ tutg Pe Y If a request for a planning/zoning action on the subiect site or any part thereof has been previously 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 submined 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 a, tier 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 ownerand/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.) Sixty (60) D~- Waiver: The City herby notifies the applicant that development review may not be completed within the required tf1J days due to pubkc hearing requirements and agency review; therefore, the City is taking an automatic 60- day extension jordevelopmentreview. laevelopmtnt review will be completed within 120 days unless additional review extensions are approved by the applicank Signature(s) of Owner(s): Date: Date: Date: `~~6 ( ~~ Signature(s) of Applicant(s): Date: Approved Approved Denied by the Planning Commission on: (date) Denied by the City Council on: - (date) 3~~z~zd¢ Graz ~1ant~ll" ~'~~ Weddings. Anniversaries • Birthdays • Anyday! ~~ ~~ 6 66 March 29, 2003 12:13 PM From: Pertormance Graphics Fax #: 7638781347 Page 1 of 1