2004-05-11 Zoning Request 2004-10
FROM : C I TV OF ALBERTV I LLE
FAX NO. : 7634973210
May. 11 2004 02:53PM P2
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'C1TYOF ~BERTVILLE
ZONING REQ'lJEST APPLICATION I
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5975 Main Avenue NE
P.O. Box 9
Albertville. MN 55301-0009
(612) 497-3384 fax(612) 497-3210
caseNo:~L\:-1 0
Base Fee: ~ 50 rHDD-Clt:tt lOd.-i
Escro~ Amt~~~ --.-..:.. Pd.-=-J- J'
Date Fded: . .~.. ~J .'--
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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.
Strtet Location of Property: _
)L~,O 4v~,
. _..~--
Legal Description of Property *7?
(Attach additional sheet if necessary): 0 V1- -I LA:J r A- r 'rJ-tl1q (1Z~
;; lA(l/Itr /h?1? t ~ ~ r! ...
Owner: Name: i~~ J'kMfitAUL I . ~C-
Address: tf~ f) 0 V/IUr/' J3 L-i/P i
City: 1fJr/() I~ _ State: /J'2"/
Telephone (~: .ifr~ ~tfzStJ~ (Business): 2~3... 753 CjqJ>S
Zip: SS.3 0..>
(Fax): 2t.~ '753 7751
Applicant (If other than owner):
Owner: Name:
5/9?1.A-
Address:
City:
Telephone (Home):
State:
(Business):
Zip:
.._~_ (Fax):
Type of Request(s):
Site and Building Plan Review
X Minor Subdivision/Consolidation
Preliminary Plat
-~ Final Plat
CompreheJlsive Plan or
~~ ~ Ordinance Amendment
Description of Requcst(s): J.fPrVtL
--'AL /) vvtJ J I/tJ{ 17>
Rezoning
Variance
Conditional Use Permit
Interim Use Permit
Planned Unit Development
Other
w~.r~_.C-/ZIU?t<6 ._tJ-f." YOr.+- Ct~~
W!;1tL -ro ih/hf-"tZ t4J:J )~u~W?p-6~rf- *"
~ 0(\ ~\dvvJ OJQCl.-- - ,~o ,l)'Y\2k 16* ~IJ.~.
FRQM : C I TV CF ALBERTV I LLE
FAX NO.
7634973210
May. 11 2004 02:53PM P3
~"l
Page Two, City of AlbettvilJe Planning/Zoning Application
Reason Why Request Should Be Granted~ ~1t (JtfZ~1 d~. ft;/C.
---1LJ/~~ ,- fi5.A1J,:M ~/6.
Existing Us of the Property I Nature of facility or Busine5S:_~
If a request for a planning/zoning action on the subject site or any part thereof bat been previously sough~
please describe it below:
What?
When?
Project Name, if applkaMe:
I hereby apply for the above consideraJiUJ'l O11d declart! thallhe informatiQn IJ1Id materials .\7Jhmilled with thi.\' application are
in compliance wi Ih City Ordinance and Policy Requirements and (lYe Clmlp/ele and QCClITale to the hesl oj my knowledge.
I under.dand thaI the application will be processed for Ihe next available meeting agenda after review of the informalion
~'"Ubmitled 10 delermine if any other dala i5 needed and after completion of Q sloff report.
I understand Ihal all City in('U1Ted professional fees and expen.'ies associated with me proa.'iSing of rhis request are tile
responsibility of the property owner and/or applicant and should be ptompl(v paid. {f payment i5 not YI!,-eived from the
applicall', the property owner acknowledge$ and agrees 10 be responsible for the unpaid fee balance either by direct payment
or a special assessment agains, the property.
(If the property fee owner is not the applicant. the applicant m1J$I provide wrillen authorizatioll by the owner tf} make
application.}
sixty (60) DIlY Waiver: The City hereby "fJlifUf$ tAe IIJ1Plictult tAtIt tIevJopment rniew may "ot be completed within the
required 69 days dl4e to publJ.c hearing re,uiremmts and agt!II''Y revic!W; llaerif/ore, the City is taking till .lIlOIIrtItic 6D-d4y
Il%ttmsio" for tbNelopmmt ~ ~ retVw will be compUted within 120 days tutless llIe tlpJJlicarrt upplYWCtS
additiOlffll reviewextensiD"s.
Signature(s} of Owner(s):
P~~45Ufdt. L~~
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Date: __
Date: _..5J I ( )..~
Date S flifs4
Date:
Signalure(s) of Applieant(s):
Approved _ Denied _ by the Planning Commission on:
(Date) __.
Approved ~ Denied _ by the Cily Council on:
(Dale)
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