2004-01-04 Edina Dev Zoning App
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CITY OF ALBERTVILLF: . ZONING REQUEST APPliCATION
~No: f4~Oh
Base Fee: ~.b~- Pd.. I
Escrow Amt:_ 52 Pd ~
DateFiled: \ .
'P~b r, C- 4eAY ~de.-t. .
Please read carefully and answer all questions thoroughly. Only complete applications will be after validation by
the City Clerk and prior to acceptance of required processing fees/deposits.
5975 Main A venue NE
P.O. Box 9
Albertville. MN 55301-0009
(612) 497-3384 fax(612) 497-3210
Legal Description of Property
(Attach additional sheet if necessary):
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Street Loc2tion or Property: Sc..!:A"" b..-.J e Co. ~
Owner:Nami::Ec!I'YJ1A b-ed(I{)pmen!- ~cralrP<-
_:~oO ~htv ~. .. ~ .
CilY-kJa(A/ Slate:.. ZJp:fb~
. JtJ~ I'll] /2 7l011J/ ~ 7 -'A ?#5
Telephone(Home): (Busmess): U t-'/ - OLP (Fax): j ~/ 2.
Applicant (If other than owner):
Name:
Address:
City:
State:
Zip:
Telephone(Home):
(Business):
(Fax):
Type of Request{s):
_ Site and Building Plan Review
_ Minor Subdivision/Consolidation
_ Preliminary Plat
_ Final Plat
-X- Comprehensive Plan or
Ordinance Amendment
---2L- Rezoning .
_Variance
_ Conditional Use Permit
_ Interim Use Permit
Other
Description of Request(s): Cr."u-~ ?k."" 'l~\J\'CW Co ~
(c.)\!.....~,,~ ....'U\~'-J '" ~V'\
k"'^-<.......>:."\'^- ~ V"\*-
D..iVv \
~ 't.."W V'\ 't!
-J,.~ ~ 26n'~
<., :i\ '>... 'b"e. -k "16 ...... >n Wi-M-.I".:.
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Reason Why Request Should Be Granted: --r;~ ,...... "'(;'cJ"<."~ c......r 11-"'O..-r- <;, ,f.J.eb~ J:';r
:s;-k ~v-.- s \ '^~ it-> ,,\'0,,"",; Iy ~"v-.. (..)
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Page Two, City or Albertville PlanninglZoning Application
Existing Use or the Property I Nature or Facility or Bminess: ~ \ - J). 20"":J
If a request ror a planning/zoning action on the subject site or any part thereof has been previomly sought, please
describe it below:
What?
When?
Project Name, ifapp6cable: _~ \~~ U\'(\:o "2...1."" .~&\~ -he~
1 herel1y apply for the ab(JVe consideration and declare that the infonnation and materials submined with this application
are in compliance with City Ordinance and Policy Requirements and are complete and accurate to the best of my
knowledge.
1 understand t1uzt the application will be processed for the next available meeting agenda after review of the information
submined to determine if any other data is needed and after completion of a staff report.
1 understand that all City incurred professional fees and expenses associated with the processing of this request are the
responsibility of the property owner anJ/or applicant and should be promptly paid. lfpayment is not received from the
applicant, the property owner aclawwledges 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 wrinen authorization by the owner to make
application.)
Sixty (60) Day Waiver: The City Iw'eby notiJUs the applicant thai development review may not be completed within the
required 60 days dIU to publk hearing requirements and agency review; therefore, the City is taJdng an automatic 60-
doy extension for development rmew. Development rniew wiU be compleld within 120 days unless additional review
utensions are approl1ed by the applicant.
Signature(s) of Owner(s):
!~~0 ' ..
f!fJJYJa 'elcp/J?U71- &;j. f}-~/
Date:
/-/704
Date:
Signature(s) of AppUcant(s):
Date:
Date:
Approved_
Denied_ by the Planning Commission on:
( do.te)
Approved_
Denied_ by the City Council on:
(lklte)