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2005-06-21 Zoning Request r~ I -, ~'ftd,"ll+S .~\(tnS ~ Jill tV SIZt I CITY OF-ALBERTVUJ.F. · 5975 Main Avenue NE P.O. Box 9 Albertville, MN 55301-0009 (612) 497-3384 fax(612) 497-3210 wNING REQUEST APPUCATIONI Case No: ;).0(,]06- I:!J Base Fee: ~'3bO Pd.~ EscrowAm~ 500 Pd. 844~ DateFiled: to... d)../ ,-Q~ Please read carefully and answer all questions thoroughly. Only complete applications will be accepted after validation by the City Clerk and prior to accepumce of required processing fees/deposits. S- 0 f 0 Itf\f D . l).' Street Location or Property: ,ixJb LklLr/O& mrpv.kf '1.'1 f!. (2. (8 Legal Description or Property - I U f) (). \ f) (Attach additional sheet if oecessary): OV4l Of u i vra j (I P 1(--1L{) Address: ~~ SFilldrllfve- Owner: N~: bob City: State: Zip: Telephone (Home): (Business): (Fax): Applicant (If other than owner): Name ~f.}N (1/ ~'Yff\. Address Sl.{qS - (friIJrifLle J3/vd City: (leon (~apCil State: mAl Telepbonl:i.HOfre)71P2-42J- lf878 (BUSiness):{Pb2-7t;1-9c5CQ Zip: 5:)" </ </8 (Fax):1t.P3-t.!J!- /l/;;! or Request(s): . .. Ian Review _ Rezoning . Minor Subdivision/Consolidation p~ _ Variance Preliminary Plat _ Conditional Use Permil Final Plat _ Interim Use Permit _ Comprehensive Plan or _ Other Ordinance Amendment ~ription of R<quest(s): -iI::t Ir - Lf;;!:::eulf fJtlKf- ~ ~ ~~ , ~ Reason Why Request Should Be Granted: ;..c-,p:~ :;; Page Two. City of Albertville PlanninglZoning Application Existing Use of the Property I Nature of Facility or BUSiness:Jac~N-I Land. If a request for a planning/zoning action on the subject site or any part thereof has been previo~Jy sought, please describe it below: What? When? Project Name, if applicable: I herelly apply for the above consideration and declare that the infomu:ztion and materials submitted with this application are in compliance with City Ordinance and Policy Requirements and are complere and accurate to the best of my knuwledge. - I understand that the application will be processed for the next available meeting ageruhl after review of the information submitted to determine if any other data is needed and after completion of a staff repon. I understand tluU 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. If payment is not received from the applicant. the property owner aclcnowledges 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 weby notifies the applicant thai development review may not be completed within the required 60 days due to publk IwIring requirements and agency review; therefore, the City is taking an automatic 60- day extensionjor development review. Det'elopmenl review wiU be completed willlin 120 days unless additional review extensions are approved by the applkanL IUJ ;/~ , I Signature(.) of Applicant(.): ~I)d J <~ Signature(s) of Owner(s): Date: , -2/ or Date: Date: f.t; -- d-I- ill'- Dale: Approved_ Denied_ by the Planning Commission on: (date) Approved_ Denied_ by the Ciry Council on: (date) - 7 -~6L W!/1vJJrwi PpfJUCal/ cIVL ftv- D-uw- 130b~{'~ Appl/ Cru1f ~. &/CEJiL) jJv:Jsik Jrt)U/f(jj/1f1 .f!t1fI ~dliJ ~ SLWd.lfJIJs-(Ch-J(!~/:dcclr' Ja:Jut- 10 / fJ-/ - (J:S-