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HomeMy WebLinkAboutDevelopment Application CITY OF OAK PARK HEIGHTS m DEVELOPMENT APPLICATIO 4 ALL :4' C)/ ��l 14168 Oak Park Boulevard P.O. Box 2007 Base Fee: f L2 Oak Park Heights, MN 55082 Escrow Amount: I /pad J (651) 439 -4439 Fax: (651) 439 -0574 Street Location of Property_ I L l . 5. ' 1 10,0 ' #- s i a S Z Legal Description of Property L4,4- Owner: Name c _ Address: 16 _ \c.,l • S^►‘a ` fie _ s', 4 7'Z ) City: 410426_i / .i ,_!Y N State: ii? ft/ Zip: ___,5:5V3/ Telephone: (Home) (Business) _._ 90 - _110°.`1 4 5_ - (Fax) -- ._.. -- (Other) Applicant: Name_._...__ ' ZcklE __ _jl.►" ___----_----._ _---- ...._......_...__._..._.._ __— __._..__ Address: _.... _...w_a,.__.__. __ __.._....___._—._____—....... .__...._..._.__._.__...._._._._ City: �.. State: _ - -- — Zip: Telephone: (Horne) (Business) (Fax) _ ^ (Other) Type of Request(s) Zoning District Amendment _ I -lone Occupation j Conditional Use Permit Site Plan Review Variance: Single Family Residential PUD: 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): Dr nVu - fecu.ccck r rk16� r� ` uiae,� ,�k- Cut tul -_ th a4' .c� et - Vauruv4' cxliot..K, ✓ice If a request for planning /zoning action on the subject site or any part thereof has been previously approved, please describe it below: XI 112 - e ljje-a-h(N` Owner /Applicant Initials eApy UPS+ (A.Cda k6 tt.netnesi- RECEIVED AUG 15 2012 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, inciudinglany 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 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. Property 1 f � p yAddress 1 6y t� g_e et , • 1 LrM Date: Owner 8 laire Date; Applicant Signature