City of Jordan Application for Conditional Use Permit Last Updated 8/27/2020 Page 1
APPLICATION FOR CONDITIONAL USE PERMIT
CITY OF JORDAN
210 EAST FIRST STREET
JORDAN, MN 55352
952-492-2535
Site Information
Site Address: _________________________________________________________________________________
Legal Description: _____________________________________________________________________________
Applicant / Contractor Information
Name: ______________________________________________ Phone: __________________________________
Address: ______________________________________________ Email: _________________________________
Owner Information ([ ] Check if same as above)
Name: ________________________________________________ Phone: ________________________________
Address: ______________________________________________ Email: _________________________________
I/We, the undersigned, hereby make the following application to the City Council and Planning Commission of the City of Jordan, Scott County,
Minnesota. (Applicants have the responsibility of checking all applicable ordinances pertaining to their application and complying with all
ordinance requirements):
1. Application is hereby made for Conditional Use Permit to conduct the following:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
______________________________________________________________________________________
2. Legal description of land to be affected by application, including acreage or square footage of land involved,
and street address, if any (attach additional sheet if necessary):
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
3. Present zoning of the property is: ____________________________________________________________
4. Title Information: Abstract_______ Torrens______
5. What impact will the granting of the Conditional Use Permit have on:
a. Existing parks and schools:
_____________________________________________________________________________________
b. Existing streets and other public
facilities:______________________________________________________________________________
_____________________________________________________________________________________
c. Existing public utilities which serve or are proposed to serve the
area:_________________________________________________________________________________
City of Jordan Application for Conditional Use Permit Last Updated 8/27/2020 Page 2
_____________________________________________________________________________________
7. Is the proposed use compatible with present and future land uses of the area? Please explain:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
If no, what screening is proposed and what are the setbacks from the adjacent land uses?
_________________________________________________________________________________________
_________________________________________________________________________________________
8. Will the proposed use or appearance of the proposed use have an adverse affect on adjacent properties?
Please explain:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
9. Is the use related to the overall needs of the City and to the existing land uses? Explain:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
10. Is the use consistent with the zoning district provisions and other sections of the Zoning Ordinance? Please
explain:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
11. Is the proposed use consistent with the Comprehensive Plan? Please
explain.__________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
12. Will nearby existing businesses be adversely affected because of curtailment of customer trade brought
about by noise, glare or general unsightliness? Please
explain.__________________________________________________________________________________
_________________________________________________________________________________________
Attached to this application and made a part thereof are other material submission data requirements, as
indicated.
I certify that all information submitted is true and correct and I fully understand that all information and a
complete application must be submitted at least 28 days prior to a planning commission meeting to ensure
review by the Planning Commission on that date.
*Applications will not be accepted without a parcel identification number.
Applicant Signature: _________________________________________Date: ________________________
Owner Signature: ____________________________________________Date: ________________________
PROPOSED MEETING DATES:
Planning Commission__________________ City Council__________________________
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City of Jordan Application for Conditional Use Permit Last Updated 8/27/2020 Page 3
FOR OFFICE USE ONLY
DATE SUBMITTED: _________ DATE COMPLETE: ___________ IF INCOMPLETE, DATE LETTER SENT TO APPLICANT:_______
DATE OF PUBLIC HEARING _________ PUBLICATION DATE: _________
DATE NOTICE SENT TO ADJOINING PROPERTIES: _______________
AMOUNT OF FEE PAID: _________ DATE FEE PAID: ___________ FILE #_________
PLANNING COMMISSION ACTION: _____ RECOMMEND APPROVAL _____ RECOMMEND DENIAL _______
DATE OF ACTION: ______________
DATE APPLICANT/PROPERTY OWNER NOTIFIED OF PLANNING COMMISSION ACTION: _________________
CITY COUNCIL ACTION: _____ APPROVED _____ DENIED
DATE OF ACTION: _________________
DATE APPLICANT/PROPERTY OWNER NOTIFIED OF CITY COUNCIL ACTION: _________________
DATE FILED WITH SCOTT COUNTY RECORDER’S OFFICE: ________________