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Development Application
City of Oak Park Heights 14168 Oak Park Blvd N. •Oak Park Heights,MN 55082 • Phone(651)439-4439 * Fax(651)439-0574 Development Application 1 Type of Request(s): t aft ❑ Zoning District Amendment ❑ Home Occupation �.J a Conditional Use Permit 0 Site Plan/Design Guidelines Review (;)h ` lj ❑ Variance:Single Family Residential 0 PUD Amendment ' t ❑ Variance: Other Residential/Commercial 0 PUD Concept Plan Approval rat .)'<-fL,, /Industrial 0 PUD General Plan Approval l r ❑ Subdivision: Major 0 Street Vacation ( s r1 eRii ) 0 Subdivision: Minor 0 City Financial Assistance cg\\\� 1 ;� ❑ Comprehensive Plan Amendment !-! -2 Base Fee: $400 Escrow Amount: $1000 Street Location(Address)of Property: 14702 60th Street North Legal Description of Property: Attached PID's & Legal Descriptions This Property Is ❑ Abstract J1Torrens(Certificate#) 55715 Property Identification Number(PIN, PID): 3 PID's for the property - see attached OWNER INFORMATION Name: HealthPartners, Eric Siskow Address: Street: 14702 60th Steet North City: Oak Park Heights State: MN Zip: 55082 Email: Eric.R.Siskow@lakeview.org Telephone: Home: Business:651-430-4519 Fax: Other: APPLICANT INFORMATION Name: ASI Signage Innovations/Signation Sign Group Address: Street: 7624 Boone Ave. N Ste 100 City: Brooklyn Park State: MN Zip: 55428 Email: cschumacher@ssgix.com 763-326-1184 Telephone: Home: Business:ext. 9927 Fax: Other: Owner/Applicant Initials ?-7/ City of Oak Park Heights 14168 Oak Park Blvd N. •Oak Park Heights,MN 55082 • Phone(651)439-4439 • Fax(651)439-0574 Development Application Page 2 Description of Request(s): Request additional Signage on South Fascia to indicate Lakeview EMS - see attached drawing If a request for planning/zoning action on the subject site or any part thereof has been previously approved, please describe below: Building is currently in remodel phase GENERAL CONDITIONS Application Review: The undersigned acknowledges that before this request can be considered and/or approved, all required information and fees, including any deposits shall be paid to the City. An incomplete application will be returned to the applicant. The application approval process commences and an application is considered complete when all required information and fees have been submitted appropriately to the City. Professional Fee Responsibility: It is the understanding of the undersigned that all City incurred professional fees and expenses associated with the processing of this request(s)will be promptly paid upon receipt. If payment is not received from the applicant,the property owner acknowledges and agrees to be responsible for the unpaid fee balance either by direct payment or a special assessment against the property. Applicants will be billed on a monthly basis for Planning, Engineering, Legal and Community Development fees as they are accrued. It is understood that interest will be charged on the account at the maximum rate allowed by the Fair Credit Act if it becomes thirty(30) days past due. Failure to pay administrative and processing fees in a timely manner may result in denial of the application. All fees must be paid at the time of the application and shall be paid prior to the issuance of a building permit. The undersigned applicant further acknowledges and consents that all unpaid fees owing the City of Oak Park Heights shall be treated as unpaid utility fees and may be certified for collection as with delinquent utility billings and may be assesses against the subject real property if unpaid by October 3151 of each year. Property Address: 14702 60th Street North, Oak Park Heights, MN 55082 Owner Signature: Date: 3/a 2/g3 Applicant Signature: ' "C- Date:8/28/23 RECEIVE® II City of Oak Park Heights 14168 Oak Park Blvd N. •Oak Park Heights,MN 55082 •Phone(651) ,39-4439 aFa4gair). A,y664pm AM Development Application Type of Request(s): ❑ Zoning District Amendment 0 Home Occupation Conditional Use Permit 0 Site Plan/Design Guidelines Review ❑ Variance:Single Family Residential 0 PUD Amendment ❑ Variance: Other Residential/Commercial 0 PUD Concept Plan Approval /Industrial 0 PUD General Plan Approval ❑ Subdivision: Major 0 Street Vacation ❑ Subdivision: Minor 0 City Financial Assistance tc‘o--, ❑ Comprehensive Plan Amendment / A`v Base Fee: t 400 Escrow Amount: L O 03QQ- ( q C; SW Street Location(Address)of Property: 1410 P� 5 � - �k Legal Description of Property: Ma eho4 f I V <Q-A.01 Lea.I 99� r l 196 a1' b This Property Is 0 Abstract XTorrens(Certificate#) 55 7/ 5 Property Identification Number(PIN, PID): 5 ?I b s coy 4k pro pefli - see- aft-Guilt-61 OWNER INFORMATIO _ (,C; Name: e(1 -4,,,�a�rk- 11 �'_'`Y lc, i s f---V\p,i _.."N Address: Street: I Li 7 n '_ tp 94t r 94% 11 6 r `i _ ,--40-.----- City: _—TCity: btitti— VOtii- II° ,, 114 S State: AA Zip: 55()$2 Email: Er, . Re (stoY e Latz v i evi ,01-- 6/61 r6/51 Telephone: Home: Business: 1133-4 511 Fax: Other: APPLICANT INFORMATION L� ¶ &tME ,,( of �;3r: cName: S,�. 11,c I°oYA1 i O IVc �pq A 1 1 oN S 1 at C7 rt'(, 0' hk, f4 Address: Street: 1/411024 15DD V_AfQ. , Ki 71 (IOC) L � fil City: 31(0 Q K-\y /V` i 04-- State: Zip: 59{-2- ' Email: 0,561 IAA,6kri .e: 65 t/- i UM— 743 — Telephone: Home: Business: 3-26- 11 gq Fax: Other: et. cci -7 GS 'f I� -�t, �;-Ci.-c_:L_. Owner/Applicant Initials S .. • City of Oak Park Heights 14168 Oak Park Blvd N. •Oak Park Heights, MN 55082• Phone(651)439-4439 •Fax(651)439-0574 Development Application Page 2 Description of Request(s): �f u Q,`vC 0 ,t 6 nal 0 i e- o `561k-H4 as & 6 Cry i cif, LAKCv L 1,-.W Ms - e e. attatW DMA)i;uk If a request for planning/zoning action on the subject site or any part thereof has been previously approved, please describe below: s Rita1Ao) is cix-, --tL( IV\ 1P;pAaddd pitiu e,- GENERAL CONDITIONS Application Review: The undersigned acknowledges that before this request can be considered and/or approved,all required information and fees, including any deposits shall be paid to the City. An incomplete application will be returned to the applicant. The application approval process commences and an application is considered complete when all required information and fees have been submitted appropriately to the City. Professional Fee Responsibility: It is the understanding of the undersigned that all City incurred professional fees and expenses associated with the processing of this request(s)will be promptly paid upon receipt. If payment is not received from the applicant,the property owner acknowledges and agrees to be responsible for the unpaid fee balance either by direct payment or a special assessment against the property. Applicants will be billed on a monthly basis for Planning, Engineering, Legal and Community Development fees as they are accrued. It is understood that interest will be charged on the account at the maximum rate allowed by the Fair Credit Act if it becomes thirty(30) days past due. Failure to pay administrative and processing fees in a timely manner may result in denial of the application. All fees must be paid at the time of the application and shall be paid prior to the issuance of a building permit. The undersigned applicant further acknowledges and consents that all unpaid fees owing the City of Oak Park Heights shall be treated as unpaid utility fees and may be certified for collection as with delinquent utility billings and may be assesses against��subject (real �property if unpaid i by Oct(ober 31St oaf each year. Property Address: 14i 0 2_ .0*'T � c— • ►V 0 rfk 1 V�lL—Part Y"1 S r kW 5505 ,/i/ �) y Owner Signature: Date: (5 Applicant Signature: Date: g/14 /Z ? bry Schtkrvickve' ' - •„3eg uo sl!elap ci Papn13u1 sainleea Mun3a$ -r . I 1; e � rMM ��//�� �nf W o I 0 o o 0 coo ici o N o �=• E O O to U) N + �. N' n • • tf * * CV C o0 �Y c*.1 * p 1( .i. 6-5p Q �., * lip ... t* ... \''P 22 * Ll iti C , co * -. j 0 m /7 * J V a to it II 4 ,,, < ig 3 0 .. cc , , *". ''. mic0 5 w 0 C e-- 0) W tCl O v W * 0 J� 0 z �o� O 0' C U' Utcc ) opo a_ U LL �@Z t CO O = 8 E C c _ 2 ZT ,. ..# z co Q Iv, :.--;,,,,.a. Y L) .co O . 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