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14168 Oak Park Boulevard
P.(]. Box 2OO7 Base Fee: ~/
Oak Park Heights, MN 55082 Escrow Amount: -�
(651) 439-4439 Fax: (651) 439-0574
Street Location of Property � ______
Legal Dwmndd
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Owner: Name
Addreno:������
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City: State: Zip: S5-102'__
Telephone: (Home)L,.____ __(Buoinmaa) 494/1..60.7_4400..
(Fax) (OVher)
Applicant: Name, A 4 |i^leA// / fqvivgi.
Address: ��t
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City: State: NA___ Zip:
Telephone: (Honme) (8uainnan) . Awa ' N •34362
(Fax) K]thmh _________�_____,�___
Type of Request(s)
Zning District Amendment Home Occupation
Condit|nou/UuaPormit Site Plan Review
-- Variance: Single Family Residential __AePUD: Amendment
Variance: Other Residential/Commercial/Industrial PUO: Concept Plan
Subdivision PUD: General Plan
Subdivision: Minor GinoeiVaoubon
Comprehensive Plan Amendment City Financial Assistance
Description of Request(s):
If a request for planning/zoning action on the subject site or any part thereof has been
previously oppnnved � below:
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TW er/Applicant Initials
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Development Application, Page 2
General Conditions
Application Review
The undersigned acknowledges that before this request can be considered and/or approved, all
required information and fees, including deposits, must 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 are 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. F ailure 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 at 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 assessed against the subject real
property if unpaid by October 31' of each year.
Property Address v q0 S `v`;' ► v AY
/ / 7 / .2.
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Date: 1 ... 2 Z ... _ t _ -
1(10 lit
Owner Sig • tur. /�> a ,
/ Date: 11 . .... _ 2
Appli :i %.nrature .41
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DEV - j11cQA0
PARK HEIGHTS ♦ELOPMENT APPLICATION ��
CITY OF OAK I
14168 Oak Park Boulevard J bo w
P,O. Box 2007
Base Fee: I'1 OQ r I, gO j
Oak Park Heights, MN 55082 Escrow Amount: IOW 4-, � ��
(651) 439-4439 Fax: (651) 439 -0574
Street Location of Property N E L AYE: —_. —
Legal Description of Property Lore, 5LOU6 I , ryas ..__ poNMS ,4P&N
04 bdo 4G . __
Owner: Name R o4i . A g . _.__ _....
Add ress:I3J SEC AN? S. 441S _
City:
State: Zip: 40
Telephone: (Horne)L_..T___... ._._ (Business) (pit 3s0"
(Fax) - -- (Other)
Applicant: Name -. ._. k....._i'4ItAtYgA1.. - -i -. gY__ - .-.Ci -...
Address: 1cSZ _.1<<D .__..--- .......___
City: Vl1Iki}]DWI..!_._ State: Nitt- - -- Zip: _S_'S"_11 .. - - --
Telephone: (Home) __ .____._—_ (Business) k.l •3t,3Ge cell
Other .__-_ _ — _— ___.._.._-;:___..___.
(Fax) _._... �.� ._ (Other) _
Type of Request(s)
Zoning District Amendment _.__._ Home Occupation
_� Conditional Use Permit _ Site Plan Review
Variance: Single Family Residential _ Amendment
Variance: Other Residential /Commercial /Industrial ____ PUD: Concept Plan
Subdivision PUD: General Plan
Subdivision: Minor -Street Vacation
_ Comprehensive Plan Amendment _ City Financial Assistance
Description of Request(s):
CON - _ i , OF roamet uy►,,wio . v - v ! . m 4. G 41 auks
4 '�,!Nc���2ih1 a$4 3To 5 iiV_ r tuNc0 rug- rA4YAIa. ,
if a request for planning/zoning action on the subject site or any part thereof has been
previously approved, please describe it below:
140 ./ F ei i'r. 5 e04 6 CI pt.
_ _ _Owner /Applicant Initials
,ti
Development Application, Page 2
General Conditions
Application Review
The undersigned acknowledges that before this request can be considered and/or approved, all
required information and fees, including fany deposits, must 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 are 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 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 he certified for
collection as with delinquent utility billings and may be assessed against the subject real
properly if unpaid by October 31`` of each year.
Property Address _.. 5'4103 WEitt. AYE.
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L_______„4. I 1
Date: k. - z. Z __ _l_ -
Owner Sig 'tur•
/ Date: 1 li
Appli •� :i% ature
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