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2002-03-12 Zoning Request I CITY OF ALBERTYH.I.F. · ZONING REqUEST APPUCATION I " 5975 Main A venue NE P.O. Box 9 Albertville. MN 55301-0009 (612) 497-3384 fax(612) 497-3210 Case No: Base Fee: Escrow Amt: DateFi1ed: 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: Legal Description of Property (Attach additional sheet if necessary): d., do< It-,+ ~ ~ ~\.\.Pr.\- I)~ He. "" ~L.,A.\.-- l\.J,c~ ;~~'" ~ Wr~ Lr,><:n-'~y,. k\..) Owner: Name: ~A{~", DeL:>p~~ G--, ...r~,>" u.. ~bV'""'\ Address: 7DO City: A-Yk~ \:::. c.. I' . ""01 t..-.J .':..ry ~Je State: K \....f Zip: 55-.~c,i# -~ Telephone (Home): (Business): 76.:S'o 32.3-- 9Dfib (Fax): 763 -3 ~3- /2 ltS-- Applicant (If other than owner): Name: Address: City: State: Zip: Telephone(Home): (Business): (Fax): Type of Request(s): _ Site and Building Plan Review _ Minor Subdivision/Consolidation _ Preliminary Plat ZFinal Plat _ Comprehensive Plan or Ordinance Amendment . _ Rezoning . Variance _ Conditional Use Permit Interim Use Permit _ Other Description of Request(s): b'\"I~\:}>kJ.-,-r\- ~~A- l \,,/14"-. I:,~ Reason Why Request Should Be Granted: Page Two, City of Albertville PlanninglZoning Application Existing Use of the Property I Nature ot Facility or Business: If a request tor a planning/zoning action on the subject site or any part thereof has been previously sought, please describe it below: What? "Jfejl~\V1u?" -:P fer+-- When? Project Name, if applicable: I herelJy 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 repon. I understand that all City incurred professioMlfees 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.) Sixty (60) Day Waiver: The City hereby notifies the applicant that development review may not be completed within the required 60 days due to public heming requirements and agency review; therefore, the City is taking an automatic 60- day extension/or development MIiew. DeJlelopment review wiU be completed within 120 days unless additional review extensions are approved by the applicanL Signature(s) of Owner(s): Date: Signature(s) of Applicant(s): Date: .J/;llo L ( / Date: Date: Approved_ Denied_ by the Planning Commission on: (date) Approved_ Denied_ by the City Council on: (date)