2001-10-22 Zoning Request
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612 786 6007 P,02 03
CITY OF ALBERTVILLE
.
ZONING REQUEST APPLICATION
5975 Main Avenue NE
P.O. Box 9
AJbemUle. MN 55301-0009
(612) 497-3384 fax(612) 497~3210
Oise No:
Base Fee:
Escrow ~"t
Dare Filed:
Pd.
PeL
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 LoC3tion of Property:
Legal Description of Property
(Attach additional sheet if n.ecessm-y): S..~ ~~.:.c:..\-.~ :PI <.1-
Owner: Name: Ed ~~,.. D~ue..\o~~V'\t- C ~,.~...C\~V'\
Address: 7~ \V'\dcJ6~ry ~\J~.
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. ~""l,
City: ~'f:.o..
State: ~\....\ ~Zip: S.530~
(Business): b~) ~3-~08<O (Fax): (7~) ~- 1'2.~e;-
Telephone (Home);
Applicant (If other than owner):
Name:
Address:
City: ~
State:
Zip:
(Fax):
Telephone(Home):
(Business):
TYPe of 'Request(s):
Site and Building Plan Review
Minor Subdivision/Consolidation
Preliminary Plat
K Final Plat
-Js:::. Comprehensive Plan or
Ordinance Amendment
~R.ezolling
Variance
_ Conditional Use Permit
Interim Use Permit
Other
u ~ \\c..S
F~ ~\ ~ 'Co.1- ~ \,' Co. 'M"oV'\ ~V""
~6~ :~"oV\
~'h~
Description of R.equest(s)~
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E. l~. RUr S. SI~t'IS i f'oJC
t=, 12 ~86 t:,\J\Y~ F~ . U:: 'I.
Page Two. City of Albertville Planning/Zoning Application
Reason \Vby ~quest Should Be G1.Urterl:
Existing Use of the Property / Nature of Facility or Business:
If a request fOI" a planning/zoning action on the subject site or any part thereof has been previously
sought, please describe it below:
Wba[?J,~ \""","",\~""'6""r ~I~t-
When? 61Z-~{
Project Name, if applicable:
I hereby apply for the above consideration and declare 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 thac 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 nor the applicant, the applicant must provide written authorization by the
owner to make application.) .
Signature(s) of Owner(s):
~.:,~~ Date:
, Con.c.u \~V\t- ~~Q~V'o. 1)c.v.\ Date:
/tJ- 2 :2 -oj
.
SigIlature(s) of AppU.cant(s):
Date:
Date:
Approved_ Denied_ by the Planning Commission on:
(date)
Approved_ Denied_ by the City Council on:
( date)
TOTHL P. 03