4.a Pribyl variance application_22577 Kirk Aveabout:blank
File Nq,?Olq-- 0/ 5
APPLICATION FOR PLANNING AND ZONING REQUEST
City of Scandiag Minnesota
14727 209tli Street Noilli, Scan(fia, MIN 55073
Plione651/433-2274 Fax651/433-5112 weh http:/Av"_-w.c i scj III IM -M LI.—Us
Please read be
fi)re completing: '11tc OtY Will not hCQjIl processing an applicalloll ONst is iticornpletc, Detailed suhmission
t1le
DW-clopment Code, available at the Cita,, j)tjjL,,e and website
the chech1i"t filrnl,� lill, the V�3111ctlklr type 0*,application. Application fees are due al 010 111ne ofallplicalion and are not ret'undabl
I . Property Location: (street addfress, �applicable)
2. Washington County Parcel ID:
0
iete Legai uescription: (attoc
Owner(s):
L 6 P",
-7 -
Street Addrest,,-24t(05.
0
City/ Stat; r: ',
S. Applicant/Contact Person:
MRIM
6. Requested Action(s): (check —all -that apply)
Variance
Administrative Permit
Variance Extension
(type)— -
Conditional Use Permit (CUP)
Site Plan evie®+
CUP Extension
0ype)----- —_
CUP/ Open Space Subdivision,
Site Plan Modification
CUP/ Planned Unit Development
Site Plan Extension
Interim Use Permit (IUP}
Sign (Permanent)
33" on -
2— A
J
Phone:
CW
(b)
E -Mail: j —,p.-'% b,4 L @_ r. S ij ,
Zip: 5 -
Phone:
(h)
H
W=
No
Amendment (Development Code
Amendment (Comp. Plan
Subdivision, Minor
Subdivision, Preliminary plat/Maio,
Subdivision, Final Plat
Environmental Review
1 of 2 10/10/2019, 5:33 PM
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7. Brief Descripti
ou of Request: (clfla(-11 sePurate sheel �fnecessai),,- include Variance Rationale
J
Dt-i
-17 1
Ile
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q -,J! 61-�-Kil- q�� a c, vi if e -
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8. Project Name:
AJ W&VIA and
I hereby apply (or pgwW"arjo, oftheabove described request and declare 111,11 they alfc,
sWmnbcd nita`eaatapmalerials
"t"(1 (])at nu NOW% NWN be "Mcred
COMPIVIC Unless accompanied by fics,,,is requked by city Wiralnee. Applicatrows for pn*CB n,Wrill, Tdun on
type of'review shall inclutle the em"wive mud of all application fees `Peicificd 1`6f Ulch type of're-view, nou"nelerst ant
that applicants am required to reirtiburse, the oily AW all ofif.ppoe, incurred liar pincIcesing,
bearin reviewing and
,2 tile apill icat bin, These costs sh,-111 nleln(je, but are not finii(ed to: parcel scarches, publication anal Illailing of,
ntitice, WYQw I the chY% owilwaing, plmud"g and Wha cormAtinis: legal costv and recording fie, ykn eser
duposh U) cimer these coms mlil he coll[ected by the 61Y at the Tillie oCapplicatiom The ridnikim"n esemm, dqxwh
, deposits for each rype 01'r",iew required for the prqiecl, urdcss lCdLJCCd aS
he cuum"ve WIW ofall Illinimuni eNcroxv shal
provided For by ordinance, The city rnay increas the aa7tcatattt Ofthe rerturred escrow aft any Unie if the city's
costs are reasonably exiiected ata excec1the 1c;Irrin"Itana"umni. Any Nalance rernarningafrer rc\,jc+ x, is complete cvfll
be rvibirded to tire aplilicam, NO interest is paid on mcmw dqvAN,
PLEASIE ?4OTEk If the hm own" is not the applicant, the applicant must provide written authorization by the fee
owner in order for this application to be considered complete.
Property Fee Owner Signature(%) . ... . ........
Date:
AN -
Date:
2 of 2 I0!I01019, 533 PAM
Is