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2005-08-31 Zoning Request
CITY OF ALBERTVILLE ■ RECEIVED 5975 Main Avenue NE AW 3 1 2005 P.O. Box 9 Albertville, MN 55301-0009 (612) 497-3384 fax(612) 497-3210 ZONING REQUEST APPLICATION Case No: Base Fee Escrow F Date File 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: /0 Sr A)G ,Agc� 14G Lac& Legal Description of Property (Atta,cly Wadodakional sheet if necessa1/Y�r�r Owner. Name: f 1111UAjeStDrA 1Jf—y40 PACVr /4�SW Cj►� /� i7t1�t/x/��lgC�t` Address: 2©l W tgr / "/ 6('7- �' ��b �OZ City: NVAIMYLUO State: _ /V Zip: S J3G Z Telephone (Home): (Business): 7(3 - 73$ —6 ii3 y (Fax): 763 -Z9S—`/I ?fj Applicant (If other than owner): Owner: Name: 46 Address: City: Telephone (Home): Type of Request(s): State: (Business). - Site and Building Plan Review Minor Subdivision/Consolidation Preliminary Plat Final Plat Comprehensive Plan or Ordinance Amendment Description of Request(s): 1HAf Zip: (Fax): Rezoning Variance Conditional Use Permit Interim Use Permit Planned Unit Development Other Page Two, City of Albertville Planning/Zoning Application Reason Why Request Should Be Granted: .-roirc C -T 4yS 011 C,J,(sfXr- Existing Us of the Property / Nature of Facility or Business: Luumyll Radt tom/ ZOT If a request for a planning/zoning action on the subject site or any part thereof has been previously sought, please des cri a it below: What? tJ4 �&A,� c -5: When? 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 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.) 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 hear' requirements and agency review, therefore, the City is taking an automatic 60-day extension for development review elopment'review will bE completed within 120 days unless the applicant approves aild;6,7nal roviow VWO"Vinnc A Signature(s) of Owner(s): Signature(s) of Applicant(s): Approved Denied by the Planning Commission on (Date) Approved Denied by the City Council on: (Date) Date: Date: Date: