2001-07-24 Zoning App
PILOT
LAND DEVELOPMENT COMPANY
FAX COVER SHEET
DATE:
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FROM: DONALD JENSEN, LAND DEVELOPMENT DIRECTOR
DIRECT DIAL # 763-772-1012
RE:
Message:
If you do not receive the number of pages listed above, please call the number below
13736 Johnson Street NE . Ham Lake, MN 55304 . 763-772-1001 . Fax: 763-757-4094
CITY OF ALBERTVTTJ J{ . 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:
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 Loc.dion of Property: -H~ v.way 16 0,ts f- of J,;>.5OY< ! Cdwv1
Legal Description of Property
(Attach additional sheet if necessary):
cvf 10 t (2.) (dad Cv.eefc-- 5du ft,
Qwner:Name: ;p,"l1r lA<ttt ~ ~~
Address: 13/~0 00~~ Stveef NE=
City:_fuwt ~ State: tv7JJ. Zip: '55~o4=-
Telephone(Home)@ii)1~1'~~G (Business): rb~) 7~-1:> (Fax):(7~ 7~7 4014-
772~ 1012-
Applicant (If other than owner):
Name:
~.
Address:
City:
State:
Zip:
Telephone(Home):
(Business):
(F~):
Type of Request(s):
~ Site and Building Plan Review
Minor Subdivision/Consolidation
~ Preliminary Plat
~ Final Plat
_ Comprehensive Plan or
Ordinance Amendment
_ Rezoning
Variance
_ Conditional Use Pennit
_ Interim Use Permit
_ Other
Description of Request(s): (lP/fIiY) ~/b ~ i!5bd -Gv pli7a~!wp 1Jo!f~~
fm.JYlhQVrtR1 af ~ W.eet '
Reason Why Request Should Be Granted: ,&w;,f) ! IS UJ//U AffVW<< /1{tt5WV P/~ ~
_pre-vid/k5 dffI'Nd11 C1:&v Wd: ~ ~ft-( /WAkM .
I
Page Two, City of Albertville Planning/Zoning Application
Existing Use of the Property I Nature of Facility or Business:
~f cU'td'Clm/d' ~I/>--e,
/
If a request for a planning/zoning action on the subject site or any part thereof has been previously sought, please
describe it below:
Project Name, if applicable:
~ weei $ufl, lJ1a~ I1VVM
/1f7
(}~ UeEJ:- ~4 JIk 4~dM
What?
When?
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 arry other data is needed and after completion of a staffrepon.
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. Ifpayment 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 publU: hearing requirements and agency review; therefore, the City is taking an automatic 60-
day extension for development review. Development review will be completed within 120 days unless additional review
extensions are approved by the applU:ant.
Signature(s) of Applicant(s):
~
Date:
lk~~/ L'-w~ArDa1e:
Date:
Date:
Signature(s) of Owner(s):
~(~/
Approved_
Denied_ by the Planning Commission on:
(date)
Approved_
Denied_ by the City Council on:
(date)
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[(ny OF ~ERTVllLE . - ZONING REq~T APPUCATION j
5975 Main Avenue NB
P,O. Bo~9
Albertville, MN SS301-0009
(612) 497-3384 fax(612) 497..3210
Case No:
Base Fee:
Escrow AmI::
DateEled:
Pd.
Pd.
Please read =efuUy and aasWCf aU quesCica thorOUlhlY. Only complete appHcadoDS wU1 be a.cccptcd after validation by
the City Clerk and prior to llCXleptance of required pwcessms feeslcSeposita,
Street Location or Property: -H~ ~ way Ie 1::;p. '" f- 0+ ~~ St:M tAwvf'
Lepl Ddcription ofPropeny
(AttadI a~ sheet if D8C15Sary): ~ r~ (2.) r dtW W-e.t~ s:n.. f-0
aw-:_-11)"r ~J. ~ Ckfl""<U
~ 1'3"7~~ "'O~fOl1 Stvt!ef NE:
CitY-_Vawt l.6t.e State: ~/J. Zip: S5"~~~
Te1cpbone(lbDe)~i)"1JI9-~ (B~):.(ikP') ~fI, (1IU):~ 7S74di4-
77;2." 10 I Z-.
AppJic:aat (U othel:' than cnmer): ,
Name:
~,
Aditess: ~
Oty.
Te1ephcR(Home);
Type of Requesa(s):
_ Site aDd Building PlanRmew
~Miuor Subdiviai~lidation
Prt.li!ftiftIXY Plat
FiDal Plat
_~PlanQf
Ontinauee ~rnMrinx:m '
State: Zip:
(BusiD:ss): (Fax):
_Rezoning
~ Vatiance
_ CanditiODallJse PemJi1
__lDtCdm UlIePermit
_ Other
Description of Request(s): I'Htm Lcl& ~ ~fv~ ..fitr p/M~ luM 1Jo1f ~~_
1JulrJ htfWLl.1 tt f ~ W.eL,t '
ltIuonWb)'-'- SboaJdBe Gnmta!d: ~ o~s l&i!:h AffY-~ ~~11~ ~
-fi<&ri&IA dfprrv141 ~ fWd; k!h ~fi1 /Uttfv;, .
,.
Page Two, City of Albertville PJanninJ/ZmIiDg Application
Existing tJR orthe Property I Nature of FaeiUty or Business:
~-6uf~~nr/u~t/Ye.
Wheu.?
If a request for a planniaglzoning action OIl ti~ subject site Gr any part thereof bas been pnvloll$l1 sought, please
dam'be it below:
~ Cv-<<.i ~ fI, 1Jt(2 ~ d~
/1f7
&44-V a-e,,e. ~/h." 7/tt- ,4~b?
What'?
Project Name, if applicable:
I hereby apply for ths above CfJIUidera:itm tI1ttl d<<Jare that the lnj'oTnUltiDII and material$ submitted with this appliclJtiDn
are in complitmce wim Cit)' 0rt:Iinanc. fJIId Policy RequiretMrus tmd tl.re complet~ a'lld QCcltrate '" tM best tJf my
knowledge.
1 undtrmmd that 1M applictztio" will be ,roceusd 1M' tM ttext available muting agend4.1lftn' review olt'" tntomrarJon
Mlmitted. to del~ if allY other dQtQ is nud<<J and 4fttll' complllion of a naJ/report.
I ll1Uf4m4n4 rlull all Qty inCunwl pr"j'unctMI/US tmd e:tpf!lfSts D4socimed with the procesSIng ofrhu request are rhe
re.rpolfSibility oftbe prop,rty ~er aruJ/or applicmu a1Ul s1wuld be promptly ptlid. IJpaymenz i3 nor re.cdvedfrom the
UPPlicll1U. the propmy 0lme1' ac1aIowUdges and D8rees to be responsiblefar the rmpaidjee bllltznce eith,r by dW.ct
paymmI or Q.lpeclcU fLUessmem 4Babut tile property.
"
(111he property fee owner is Wi the applictDll, t1le applk4nt must provide wrinen tl.lIthorirAtio" by me ()WlW to ~
application.)
sm, (60)Da, Waiver: n. CiO ~ ~ tIM .plicaJU _ bw!lopPlUnl M'ittr may not be co",,"," trilllin rM
repiNd 60"', du to,.bit: ~""IIINIIII dII4 tlIMtY 'lVisw; tIw,/or.1 tU City Is tIIking till. tmlDRUItk 6().
lay ,..../or~,...", lJ<<tI'''''1Il TfPifw MIl 1M compleutl within I2tJ diqI.lIless a4dlIhI1IfIl rnt""
~ tin ",prrmd'" the ~
Sipature(s) of OwDel'(s):
~
j),~~ ~;/ ktb-lJ,!: ~~J
Date:
Date:
Sigaatare(s) of AppUeant(s):
Approved
ApprCTV"--
De1Ued_ by rhl. Pltur.1t.mg CommilJiolt on:
(dm~)
(date)
DeItWJ_ by tM CIty Council on:
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