HomeMy WebLinkAboutDevelopment Application - Updated -6cci 4.12-)2_5
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
Type of Request(s):
O Zoning District Amendment ❑ Home Occupation
III Conditional Use Permit 0 Site Plan/Design Guidelines Review
❑ Variance:Single Family Residential 0 PUD Amendment
❑ Variance: Other Residential/Commercial Cl PUD Concept Plan Approval
/Industrial ❑ PUD General Plan Approval
O Subdivision:Major 0 Street Vacation
❑ Subdivision:Minor ❑ City Financial Assistance
O Comprehensive Plan Amendment
Base Fee: $150 Escrow Amount:
Street Location(Address)of Property: 5702 Penrose Ave N, OPH , 55082
Legal Description of Property: beach's addition lot 9 block 2
This Property Is ❑ Abstract ❑Torrens(Certificate#)
Property Identification Number(PIN, PID): 03-029-20-24-0017
OWNER INFORMATION
Name: Trung Nguyen
Address: Street: 5702 Penrose Ave N
City: Oak Park Heights State: MN Zip: 55082
Email: ourfamilypharmacy@gmail.com
Telephone: Home: 701 205 5474 Business: Fax: Other:
APPLICANT INFORMATION
Same as owner
Name:
Address: Street:
City: State: Zip:
Email:
Telephone: Home: Business: Fax: Other:
Owner/Applicant lniti
ail
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): CUP: Transient Lodging Permit
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: 5702 Penrose Ave N, Oak Park Heights, MN 55082
Date: Owner Signature: -- " ,, --
25Mar2025
Owner Printed Name: Trung Tan Nguyen
Date: 25Mdr2O25 Applicant Signature:
Trung Tan Nguyen
Applicant Printed Name: