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l - <br />, <br />:�� � <br />.� ,� ��. , <br />: li:�i.: �`�;:�C. <br />A <br />A:.���.n- <br />•,, °, :r;'; <br />EsL:: <br />�o��t! ' Partn����'�Q� <br />_ <br />` _. - _ _ <br />CO DEVELOPMENT DEPARTMEN°T <br />DEVELOPMENT APPLICATTOl�T <br />2401 Highway 10, Mounds View MN 5511� <br />612-717-4020 <br />612-784-34�2 - F� <br />P(ease Type or Print Infocmation - Complete Both Sidea of Thi� Fonm <br />Applicaut Informatioo � <br />NameofApplicant Telephone %�(� �l 3 � <br />Address � g 58 ,�,g�.q ;�,� �r^e ��C Fax <br />/j%duu�s �/i.l?� %`'lat% 5�!/Z, <br />Intereat in Property (check appropriate box) <br />�,' Owner of Properry ❑ Con�ract for Deed Owner <br />❑ Lessee, Operator, Manager � Agreement [o Purchase <br />� Other (explain) <br />ApQlicants must provide evidence of interest in property at the time ot application, and if you are not the owner of the <br />property, you must provide a letter of permission from the owner giving conaeat to the filing of thi� applicatian. The <br />property owner must sign this application for it to be accepted. <br />Property Description/Proposal <br />Address or Gcneral Location <br />Legal Description T <br />Property Identifieation # (P1N � <br /># of Acres <br />��. '..:: <br />_ 7�Sg �., � a-�� ,��? <br />� �,, s � rK� ,C o�- � ��1���/!� � - <br />...._f��-3�-�3 --y'�-°oa��' _ <br />CurrentZoning �s.,jJ.�,t,y..� � <br />Type of Application . - <br />❑ Comprehensive Plan Ainendment <br />a Rezoning <br />❑ Major Subd'avision <br />a Minor Subdivision <br />O Planned Unit Development (PUD) <br />a PUD Amendmeat <br />J� Conditiona( Use Permit . <br />��p SI. ariance <br />❑ Code Appeai <br />� 0 Develop Review/Sita Plan <br />❑ Wedand Alteration Permic <br />a Wetland But%r Petmie <br />❑ Floodplain Pe�mit <br />o Other <br />5250 � <br />$250/acre; min �250 max � I S00 <br />$Z50 + $2S0 deposit* <br />�200 <br />Refer to rezoning fees <br />$�50 <br />R-1, -2 $7 � others �250 <br />R-1, R- 0 others $250 <br />$100 <br />$125/acre; min $125 max $750 � <br />R- l, R-2 S 150; all others �200 <br />R- I 9 R-2 �25; all others $100 <br />5200 <br />*Deposits shall be paid to cover all costs of public notices, materiais and staff or consultane time spent in the review, <br />research or preparation of ma[enals associated with this application. The appGcant shall be responsible for all reasonable <br />incurCed costs in z:ccess ot the initial deposit amounL Any portion of the deposit noe a-pent or encumbered shall be refunded <br />to che appiicant within thirty (30) ciays atter considerarion ot the application is compieced. <br />Pterse complete the rever�e aide of this aQplication. �L <br />(�(�,�'�-•�,1� �l. <br />h. .�.i 3 n - M • <br />