HomeMy WebLinkAboutDevelopment Application RECEIVED JUL 0 3 2024
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 .- l(
Type of Request(s): �,t � �.
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❑ Zoning District Amendment 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
❑ Comprehensive Plan Amendment
Base Fee: V Escrow Amount: Oft"
Street Location(Address)of Property: I 3 53 t2 I Ctt' 3T, Ai Oct F -P646_l y t 5k4 ' p 5-2-
Legal Description of Property: t V eAr W 1�S Z lid ADD 1.0t 7-3 (x.k I
This Property Is 171,Abstract 0 Torrens(Certificate#)
Property Identification Number(PIN,PID): air,0 LI .L0 , I`'r , 0) 2.3
OWNER INFORMATION� i i
Name: 1�PiltI* ctt J 'L� 14 Qd'1y' \)3atrhg'r
Address: Street: 13 Sal 50' Or.6,e- Iv
City: 04-- ?G1tV:' !i)1115 State: M A! Zip: C�() 6 Yi
Email: ;i"('►•Wa+Pii e' 7 Z Q'Sinai; e Co tNl
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Telephone: Home: VI Z-7 y3-�-' Business: Fax: Other:
APPLICANT INFORMATION
Name: . r M LI`t�/ Well/11 e✓'
Address: Street: i 5 'I 51211' 5-/
City: Ii I I\)04'61/ State: M A/ Zip: CC 0 8 v
Email: �i w►��+��y� �' l`1 CovA-
Telephone: Home:01 -2-V usiness: Fax: Other:
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Owner/Applicant Initials KO
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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): /AIL �. O i r i/
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If a request for planning/zoning action on the subject site or any part thereof has been previously
approved, please describe below:
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 31St of each year.
Property Address: /3Y/( S�1Y' .S-f- �-). 00.lc 7"/ i-t ;f► ri'Ji"f
Date: 7-3 24 OwnerSignature:
Owner Printed Name: \O-i-r(y k. I/t.JG&f n-`
Date: r t Applicant Signature: `-)i"f/1 G
Applicant Printed Name: K e 1.* J ✓-V �'t