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CITY OF OAK PARK HEIGHTS +DEVELOPMENT APPLICATION
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14168 Oak Park Boulevard
P.O. Box 2007 Base Fee: -Y-00
Oak Park Hei MN 55082 Escrow Amount: () O
(651) 439-4439 Fax: (651) 439-0574
Street Location of Propert �'�����Gf��
Le Description of Propert � r!3di -��
Owner: Name NG H-I)i •et�y Zr�
Address: /� 6.1 � �! �
City: Z.,
- Is:;? State: Zip: s�U�
Telephone: ( Home )
( Fax )
Applicant: Name
Address:
Cit
Telephone: ( Home )
( Fax )
T of Re
(Other)
(Business)
Zonin District Amendment
Conditional Use Permit i- I Lk, AfN 1
Variance: Sin Famil Residential
Variance: Other Residential/Commercial/industrial
Subdivision
Subdivision: Minor
Comprehensive Plan Amendment
Description of Re
Home Occupation
Site Plan Review
PUD: Amendment
PUD- Concept Plan
PULE: General Plan
--Street Vacation
Cit Financial Assistance
If a re for plannin action on the sub site or an part thereof has been
previousl approved, please describe it below:
S c /
.(Business) 15eU4=00 'j
(Other) 6 1" n* 4 7 ' 45 Y
State: Zip:
Owner /Applicant Initials
DevGiopment 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 any 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 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.
Date: c;�-
/J;/ lar"6�
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