SP81-07 11 CITY OF 1=F IDLEY, SUBJECT
6439 UNWEPSITY Ave. NE. � ECIAL PERMIT ug
FRIDLEY, MN. 5543E (692) 5-71-3450 �� � SP tt �� D
r
ADDRESS DATE��_
PLANNING COHNISSION: P.N. DATE APPROVED DISAPPROVED
DATE NO
CITY COUNCIL: P.H. REQ'D DATE NO
CITY COUNCIL: APPROVED DISAPPROVED DATE NO
STIPULATIONS:
NAME �1�� �C,�( _ FEE_ RECEIPT NO
STREET LOCATION OF PROPERTY_����� � �
LEGAL DESCRIPTION OF PROPERTY
PRESENT ZONING CLASSIFICATION_r: EXISTING USE OF PROPERTY46
ACREAGE OF PROPERTY DESCRIBE BRIEFLY THE PROPOSED TYPE OF USE AND
IMPROVEMENTr` � � .�-�---- C t/L✓� in/G X �� /
Has the present appli ant previously sought to rezone, plat, obtain a lot split or
variance or special use permit on the subject site or part of it? _______yes /no.
What was requested and when? _
The undersigned understands that: (a) A list of all residents and owners of property
within 300 feet must be attached to this application. (b) This application must be
sinned by all owners of the property, or an explanation given why this is not the
case. (c) Responsibility for any defect in the proceedings resulting from the failure
to list the names and addresses of all residents and property owners of property in
question, belongs to the undersigned.
A sketch of proposed property and structure must be drawn and attached, showing the
following: 1. North direction. 2. Location of proposed structure on the lot,
3. Dimensions of property, proposed structure, and front and side setbacks.
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 �- L - y SIGNATURE
(APPLICANT)
ADDRESS TELEPHONE NO W---75-'�
To Judy Accounting Date Speed Message
From
Subject
Refund of Spedicli Use Pendt ft:,
Please refund $80.0o to Ronald S. Ocel
IBM N.E. 5th Street
Erldia Mn_55432
APRT#ed-40r--,a—Spee#a -Os
Wilson Jones Company
GRAYLINE FORM 14i-890 2-PART 378 Signed
®1911•PRINTED IN U S A.