VAR 06.66A
APPLICATION To THE BOARD OP APPEALS AND CITY COUNCIL
POA SPECIAL USE PERMIT, VARIANCE IN REQUIREMENTS OF
CERTAIN ORDINANCES OF THE CITY OP FRIDLEY
(Applicant to compAete items 1, 20 3)
1. Name and Address of Applicant --DO OU9
2. Legal Description of Property (also general location, such as;"north..
east corner of 64th Avenue and 5th Street* br 6415 yifth Street")
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3. Describe the variance requested. (Attach Plat or Survey of Property
showing location of proposed building, etc;, alsb adjoining properties
and ownership within 200' of said property.)
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4. CommeYts by administrative official denying original request for building
permit or other permit. (To be completed by administrative official.
Appropriate ordinances and section of ordinances to be cited.)
- 2 -
5. Notice of Hearing appeared in Official Newspaper on the following
dates: June 8, 1966 and June 15, 1966
(must be at least once 10 days before meeting -- copy of notice to be
attached).
6. Board Members notified of meeting by mailing Of notices - 6-6-66
(List Members, Date Notified, and "Yes" or "No" for plans to attend
hearing). a
Name Data Plan to Attend
All members notified by mailing of: notices 6-6-66 M
7. Person making appeal and the following property owners having property
within 200' notified:
By Phone Notified by
Name Date or Mail (Initial)
Mr. Donald C. Delich, 4556 Madison Street Northeast 6-6-66 M
8. The Following Board Members and interested parties were present at the
Hearing: June 22, 1966
BOARD MEMBERS
OTHER PARTIES:
NAME
1
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9. Opinions and recommendations by BOARD OF APPEALS:
ADDRESS
10. For Above Recommendations Against Recommendations
11. Action by City Council and Date:
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PLANNING AND ZONING FORM
Number
PAGE 2
The undersigned understands that. (a) A list of all residents and owners of pro-
perty within 300 feet must be attached to
this application.
(b) This application must be signed by all
owners of the property, or an explanation
given why this is not the case.
(c) Responsibility for any defect in the pro-
ceedings resulting from the failure to list
the names and addresses of all residents
and property owners of property within 300
feet of the property in question, belongs
to the undersigned.
Residents and Owners of Property within 300 feet:
PERSONS ADDRESS
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A sketch of proposed property and structure must be dray*n on the back of this
form or attached, showing the following: 1. North Direction
_ 2. Location of Proposed Structure on lot.
3. Dimensions of property, proposed
structure, and front and side set-barlt.
4. Street Names
5. Location and use of adjacent existing
buildings (within 300 feet).
The undersigned hereby declares that all the facts and representations stated in
this application are true and correct.
DATE SIG14ATURE
(APPLICANT)
Approved Denied By the Board of Appails,
Subject to the Following Conditions: date
Approved Denied by the Planning Commission on
Subject to the Following Conditions: date
Approved Denied by the Council on
Subject to the Following Conditions: date
Form PC 100
CITY OF FRIDLEY
MINNESOTA
PLANNING AND ZONING FORM
Number
TYPE OF REQUEST
Rezoning
Special Use Permit
Variance
APPLICANT'S SIGNATURE A.0,1/J C. belisL. Lot Splits
Address ����2U qar%f%` %/j1 fi-t�. Approval of Pre-
liminary Plat
Telephone Number 'Ve /of / K•e<
7 FF - %,'F7 - Approval of Final
Plat
PROPERTY OWNER'S SIGNATURE (:
Streets or Alley
Address )o24 ,g e(f,� c �, �� 22 Vacations
Telephone Number Z a / 3 [ — xXT Other
Street Location of Property ''-
Legal Description of Property Zo ?4' / S' %.IOC`C /
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Present Zoning Classification ��� �Je, .4 /.
Existing Use of the Property
Proposed Zoning Classification, Special Use, Variance or other request
4L9 AS- /IHSS /e �. J � V ` B0 u % fe,4 "( c . e �® �A��S / %,e )w,00Je V JX
e.. aPe JNe.
Describe briefly the Type of Use/and the Improvement Proposed
Ar X
Acreage of Property
Has the Present Applicant Previously Sought to Rezone, Plat, Obtain a Lot Split,
Obtain a Variance or Special Use Permit on the Subject Site or Part of It?�.
When?
What was Requested Fee Enclosed $
Date Filed Date of Hearing
-mm 'r' mnI exam that am Dowd of Amems Of the city
t3t Fridley Win mw% In the comall Cbam%ws of the c1tw man at
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follming mattmes
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