2004-05-11 Zoning Request 2004-13
FROM : C I TV OF ALBERTV I LLE
FAX NO. 7634973210
Malj. 11 2004 132: 53PM P2
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ZONING REQ'UEST APPLICATION ij
'CITYOF ~BERTVILLE
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5975 Main Avenue NE
P.O. Box 9
Albertville. MN 55301-0009
(612) 497-3384 fax(612) 497-3210
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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.
Stl"fet l.ocation of Property:
j{~'2_ J1-vL,
Legal Description of Property --;-:;:J
(Attach additional sheet if necessary): () Vt-I t../O J A- r'rJiZ10 !E~
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Owner: Name: l~brJJ "}2.c M 5~fUL I . .~C-
Address: t.f~ f} 0 III (U~-/t~ J3 L-i/(J i
City: IJyJO 1L4:J- State: /J2.;J'
Telephone (~f~~ .(.dZr ~lfzStJ~ (Business): 2~2. 7 53 ~19'>~
Zip: ~:,5' :3 ()>
(Fax): 2C,';; -753 7"?5?
Applicant (If other than owner):
Owner: Name:
~~
Address:
City:
Telephone (Home):
State:
Zip:
"._~_ (Fax):
(Business):
Type of Reqbest(s):
Rezoning
Variance
Conditional Use Permit
__~ Interim Use Permit
Planned Unit Development
.-- Other
Site and Building Plan Review
X. Minor Subdivision/Consolidation
~_ __ Preliminary Plat
Final Plat
_ ~ Comprehensive Plan or
Ordinance Amendment
Description of Request(s); fll'fl/r[
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