General Zoning Application Form - City Of Pine City

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This application form is required
as part of any request to process
the planning actions listed below.
The City of Pine City requires
specific material to be submitted
in conjunction with this form.
General Zoning Application Form
________________________
: ________________________
Applicant's Name:
Owner's Name
Address:
__________________________________
Address: __________________________________
Street
Street
__________________________________
__________________________________________
City
State
Zip
City
State
Zip
Phone: ____________________________
Phone: _________________________
E-mail: _______________________________
E-mail: ____________________________
Do you have a developer on this project?
Do you have an architect /engineer on this project?
 Yes  No
 Yes  No
Name: ______________________________________
Name: ___________________________________
_______________________________
Addr:
Addr: ____________________________________
Phone: ____________________________
Phone: __________________________
E-mail: _______________________________
E-mail: _______________________________
Parcel Number: 42-
-
Gross Acres: ____________Zoning:________________
(Full legal description must be attached)
Address of Project: ___________________________________________________________
 Certificate of Compliance
 Minor Subdivision
 Other:
 Conditional Use Permit
 Planned Unit Development
___________________
 Development Site Plan Review
 Preliminary Plat
 Easement Vacation
 Rezoning
 Final Plat
 Street & Alley Vacation
 Interim Use Permit
 Variance
Description of Request:
__________________________________________________________________________
__________________________________________________________________________
Reason for Request:
__________________________________________________________________________
__________________________________________________________________________
Please return form to: City of Pine City, 315 Main St. S., Ste. 100, Pine City, MN 55063 or via email to .
Call (320) 629-2575, ext. 105 with questions.

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