HomeMy WebLinkAbout1978-06-28 Application Form [.........
JUN 1 41978
VILLAGE OF OAK PARK HEIGHTS MINNESOTA
APPLICATION FORM
NOTE TO APPLICANT: FILL IN OR CHECK ONLY THOSE ITEMS PERTAINING
TO YOUR REQUEST. REVIEW PROCEDURE DATA SHEET.
(TYPE OR PRINT)
I I. GENERAL DATA
I
I NAME OF APPLICANT�?`�,o(( -r O <<� p p c; 'it i C cu.) I,/�`..C
S ADDRESS ( 1. 3 1�d' �-F" C[/\ Tkril LY /1/4) ,1GgTT//GUn Te,( L) Z—
7 HONE /]F' OWNERS 1r Si3�i `2-/ ig- 4 NAME /()J -7- c V IIIU'�U y tJ 0/P C/o U Iii-/ L
I II. SITE DATAJ
I
I LEGAL DESCRIPTION (IF MEETS LOT BLOCK / / / PLAT
AND BOUNDS ATTACH TO APLN.) S C.' Y /�-C'G'1 N O/ P9 .--
S
PRESENT 1, //
. SITE AREA (IN SQUARE FEET OR ACRES) JI -f'— 3 ZONING C°Ai& /tL'c/,i_
4 EXISTING USE OF PROPERTY M,g/A.-;4
IIII. TYPE OF APPLICATION FEE $20 PLUS DEPOSIT
LANNED UNIT DEVELOPMENT CONCEPT GENERAL PLAN
REZONING VARIANCE SPECIAL USE PERMIT X
AMEND. SPEC. USE PER. PLAT VACATIONS- /ALLEY
S IGNATURE- AP PLICANTe p�, Z.G.(.,,,_, SIGNATURE- OWNER C iC yam
PC4ii or Sal uYSi(>6! e_,-&, /Uc_, ia'S _,Fz- ae= s,,a3t,,,C d,L.-.1:., /,.1c.
IIV. ADMINISTRATIVE STAFF USE ONLY
I
APPLICATION REC77j/'/�"
O 7C BY (INITIALS) �',I I DATE PAIp YE NO
T I.0� �
W
PLANNING REVIEW ,, / .).9/ DATE
COUNCIL ACTION DATE APPROVED DENIED
COMMENTS: o715eB J'e e-
MO 6-" ct-e/bo�`ct
/ Zo�Lt_e_. 4,Y6/.2.Q4e
E-7S