City of Jordan Application for Interim Use Permit Last Updated 8/27/2020 Page 1
APPLICATION FOR INTERIM 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 Interim 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. Is the proposed use compatible with present and future land uses of the area? Please explain.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
6. Will the proposed use depreciate the area in which it is proposed? Please explain.
_________________________________________________________________________________________
City of Jordan Application for Interim Use Permit Last Updated 8/27/2020 Page 2
_________________________________________________________________________________________
_________________________________________________________________________________________
7. Can the proposed use be accommodated with existing City service without overburdening the system?
Please explain.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
8. Are local streets capable of handling traffic which is generated by the proposed use? Please explain.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
9. I propose to have the interim use permit terminate upon the following date or action:.
_________________________________________________________________________________________
_________________________________________________________________________________________
Attached to this application 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 _________________
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: _________________
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