General Zoning Application Form - City Of Pine City Page 2
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1
2 Residential Development
How many residential units are being requested? Total units: ___________
Single Family: ________
Condominiums: _________ How many lots will be created? __________________
Townhomes: ___________ Do you intend to sell the units? Yes No
Duplex: _____________
Other: _______________ Apartments: ____________ Do you intend to market the units for rent? Yes No
Authority to file application: Ownership
Power of Attorney
Contract to purchase
Other
I hereby certify that the above information and accompanying documents are true and accurate to the best of my knowledge and
acknowledge that the process of this application may require additional fees and expenses for the preparation of necessary environmental
documentation and planning studies.
___________________________________________
_______________________
Applicant's signature
Date
___________________________________________
_______________________
Owner’s signature (if different from applicant)
Date
___________________________________________
_______________________
*Architect’s signature (if applicable)
Date
*By signing this application, the firm certifies that it has acquired, read and understands that the project will be designed in accordance with
the City’s Municipal Development Ordinance.
For City of Pine City Use Only
Application Fee: ____________________
Receipt Number: _____________________
(Per the City’s adopted fee schedule)
Required Escrow Amount: ____________
Total Paid: ________________________
Escrow Acct. Balance
Addt'l Amount Owed / (Refund): ____________ Receipt Number: _____________________
Date Application is Complete: _____________
60 day review deadline: _______________
Request for Extension Filed: _____________
Extension deadline: ___________________
Approved
Date: ______________________
Conditions (
For CUPs, planned developments, plats, and variances please see attached resolution)
___________________________________________________________
___________________________________________________________
Denied
Reasons for denial: ___________________________________________
___________________________________________________________
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