1998-03-16 Zoning Request
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CITY OF ALBERTVILLE
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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: #.gOI? Pd.
&crow Arne tI 02{;O q Pd.
Date Filed: ~ (:; / r
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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.
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Street Location of Property:
Legal Description of Property
(Attach additional sheet if necessary):
Owner: Name: m;, cAa1-1 Sa Vi Isk/
Address: / tJ e ~ ';? jj~1'- Or
City: 1(0 J if S Stare: tyln Zip: f) ~ ::? 7,1
Telephone(Home): f/f/f- ftlC/9 (Business): 1/91-~/~1 (Fax): ((9J-~(J~1
Applicant (If other than owner):
Name:
Address:
City:
State:
Zip:
Telephone(Home):
Ty~of Request(s):
V Site and Building Plan Review
Minor Subdivision/Consolidation
Preliminary Plat
Final Plat
Comprehensive Plan or
Ordinance Amendment
(Fax):
(Business):
_ Rezoning
Variance
Conditional Use Permit
Interim Use Permit
Other
Description of Request(s)~
Page Two, City of AlbertVille Planning/Zoning Application
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Reason Why Request Should Be Granted:
Existing Use of the Property I Nature of Facility or Business:
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If a request for a plam1ing/zoning action on the subject site or any part thereof bas been previously l
sought, please describe it below:
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What?
When?
Project Name, if applicable:
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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.
Date:
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 prompdy 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 pplicant m
owner to make application.) .
Signature(s) of Owner(s):
t provide written authorization by the
Date: 1:2- If /91
,
Date:
Date:
Signature(s) of Applicant(s):
Approved
Denied
by.the Planning Commission on:
(date)
Approved_ Denied
by the City Council on:
(date)