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CI CI CF <br />p.. <br />r„H <br />iii,'::. lift <br />"PiL PdYET1eli��Q <br />CO DEVELOPMENT DEPARTIYIENT <br />DEVELOPMENT APPLICATION <br />2401 Highway 10, Mounds View MN�}551 i1 <br />V 12 -71 / -4020 <br />612-784-3462 - FAX <br />Please Type or Print Information - Complete Both Sides of This Form <br />Applicant Information <br />Name of Applicant A'io lL. L L . i_________...61.„_____________ Telephone 7 � L- <br />0 3 b Address rL,��0 1 i7 Fax ) 7 z-i bl U 7 <br />Ut (Etj — - <br />Ingest in Property (check appropriate box) <br />Owner ofProperty 0 Contract for Deed Owner <br />0 Lessee, Operator, Manager <br />0 Other (explain)' _. Agreement to Purchase <br />Applicants must provide evidence of interest in property at the time of application, and if you are not the owner of the <br />property owner must si n this application property, you mast provide a letter o <br />g pp ton for it to be accepted. -�� = - <br />p f permission from the owner giving consent to the filing of this application. The <br />;. d <br />� . z--, <br />M f #i <br />Property Description/Proposa1 _ s� ,. , <br />Address or General Location -- `�te�rrry�► - . - <br />. - Legal D iption • ,y.. -, , . , Z <br />Property Identification #'(PIN #) <br /># of Acres . <br />Current Zoning <br />Type of Application -- . <br />O Comprehensive Plan Amendment <br />• Rezoning <br />O Major Subdivision - <br />• Minor Subdivision <br />• Planned Unit Development (PUD) <br />o PUD Amendment <br />❑ Conditional Use Permit <br />o Variance - - <br />O Code Appeal <br />Develop Review /Site Plan <br />• Wetland Alteration Permit <br />• Wetland Buffer Permit <br />• Floodplain Permit <br />• Other <br />r. <br />$250 <br />5250 /acre; min $250 max $1500 <br />$250 + $250 deposit* <br />$200 ..... <br />Refer to rezoning fees <br />$350 <br />R -1, R -2 $75; all others $250 <br />R -1, R -2 5100 all others $250 <br />5100 <br />$125 /acre; min $125 max $750 <br />R- I, R -2 5150; all others $200 <br />R -1, R -2 $25; all others $100 <br />$200 <br />*Deposits shall be paid to cover all costs of public notices, materials and staff or consultant time spent in the review, <br />research or preparation of materials associated with this application. The applicant shall be responsible for all reasonable <br />incurred costs in excess of the initial deposit amount. Any portion of the deposit not spent or encumbered shall be refunded <br />to the applicant within thirty (30) days after consideration of the application is completed <br />Please complete the reverse side of this application. <br />