HomeMy WebLinkAboutplanningapp_09-0130City of Falcon Heights
Planning Application
Action Requested By:
Name of Property Owner ________________________________________________________
Phone (h) _______________________________ (w) __________________________________
Address of Property Owner _______________________________________________________
Name of Applicant (if different) ____________________________________________________
Address ________________________________________ Phone ________________________
Property Involved:
Address ______________________________________________________________________
Legal Description _______________________________________________________________
Property Identification Number (PIN) _________________________________________________
Present Use of Property (check one):
R Single Family Dwelling
R Duplex/Two Family Dwelling
R Multi Family Complex
R Business/Commercial
R Government/Institutional
R Vacant Land
Action Requested (NON-REFUNDABLE):
R Variance ($150.00)
R Conditional Use Permit ($165.00)
R Rezoning ($500.00)
R Lot Split ($250.00)
R Site Plan Review ($100.00)
R Other (Please Specify)
__________________
Brief Summary of Request (applicant may submit letter to Planning Commission with
details of request):
I certify that all statements on this application are true and correct:
S:\BUILDING PERMITS & ISSUES\Zoning and Building Forms\PLANNING APPLICATION.doc 1/30/2009
Signature of Property Owner (required)
Signature of Applicant (if applicable)