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1 . COMPLETED LAND USE APPLICATION <br /> EWPage 1 of 2 <br /> IAABRIGHTON City of New Brighton Application Form <br /> building tomorrow today (Land use applications,Subdivision applications,and vacation requests will not be <br /> considered complete and will not be accepted until all property owners have signed) <br /> I. Property Owner#1 <br /> Benedictine Health Center at Innsbruck 1101 Black Oak Drive,New Brighton.MN 55112 <br /> (name) (mailing address) (st) (zip) <br /> 651-259-6114 651-633-5267 andy.opsahl@bhshealth.org <br /> (phone#) (fax#) (email) <br /> Signature: <br /> IL Property Owner#2 For more than two owners,please provide their information and signature(s)on a separate sheet. <br /> (name) (mailing address) (st) (zip) <br /> (phone#) (fax#) (email) <br /> Signature: <br /> Ill. Please identify the request(s)for which you are applying: <br /> LA <br /> LAND USE APPLICATION(subject to MN State Statute 15.99 timelines) <br /> FEES <br /> ® Variance ❑ Non-conforming Use Permit <br /> ® Special Use Permit ❑ Grading Permit Fees for individual <br /> [J Site Plan Review ❑ Moving/Relocating Structures Permit application types are <br /> ® Zoning Code Amendment/Rezoning ❑ Sign Permit established on a yearly <br /> ❑ Comprehensive Plan Amendment ❑ Other: basis by the City <br /> Council. <br /> X� SUBDIVISION APPLICATION (subject to MN State Statue 462.358,subd.3b timelines) <br /> ❑ Administrative Lot Split ❑ Preliminary Plat Please see the <br /> PUD or PRD attached fee schedule <br /> ❑ Final Plat for the applicable costs <br /> (and possibly escrow <br /> ❑ GENERAL APPLICATION(not subject to any state mandated timelines) requirements)for your <br /> ❑ Right of Way Vacation ❑ Municipal Site Work Authorization request(s) <br /> ❑ Easement/Utility Vacation ❑ Zoning Letter <br /> ❑ Administrative Appeal ❑ Consultant Consultation <br /> ❑ Deadline Extension Request ❑ Other: <br /> Briefly describe your request below(If additional soace is needed. please attach arrative to this application) <br /> We are requesting a change in our current zoning classification of R-3B(main lot)and B-1(2 east lots)to a PRD with a R-3B classification. With the additior <br /> of the office building property to the site,we will need to rezone that land to R-3B to unify the site under the same zoning classification for the PRD. This wil <br /> allow us to add independent living,assisted living and assisted living memory care to the current services of transitional care and skilled nursing. <br /> FEBRUARY 14,2020 LAND USE APPLICATION: 1101 BLACK OAK DRIVE, NEW BRIGHTON, MN 55112 1 <br />