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- Paecneos�'�@ <br />Applicant Information <br />Name of Applicant <br />Address <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />DEVELOPMENT APPLICATION <br />2401 Highway 10, Mounds View MN 55112 <br />612• -717 -4020 <br />612484 -3462 - FAX <br />Please Type or Print Information - Complete Both Sides of This Form <br />Telephone 1c'S D <br />Fax <br />Interest in Property (check appropriate box) - -- - — - .___ -. -_ -� <br />Owner of Property ❑ Coatract for Deed Owner <br />❑ Lessee, Operator, Manager _0 _ • Agreement to Purchase: <br />❑ Other (explain) <br />Applicants must provide evidence of interest in prope at the time of application, and if you are not the owner of the <br />property, you must provide a Ietter of permission from the owner giving consent to the filing of this application. The <br />property owner must sign this application for it to be accepted.. . <br />Property Description/Proposal <br />Address or General Location ePt <br />Legal Description <br />Property Identification # (PIN #) <br /># of Acres <br />Current Zoning <br />et „,:„ 415 <br />Type of Application <br />❑ Comprehensive Plan Amendment <br />❑ Rezoning <br />• Major Subdivision <br />❑ Minor Subdivision <br />❑ Planned Unit Development (PUD) <br />❑ PUD Amendment <br />Conditional Use Permit <br />❑ Variance <br />❑ Code Appeal <br />❑ Develop Review /Site Plan <br />❑ Wetland Alteration Permit <br />❑ Wetland Buffer Permit <br />a Floodplain Permit <br />❑ Other <br />S250 <br />5250 /acre, min 52250 max S1500 <br />$250 + $250 deposit* <br />S200 <br />Refer to rezoning fees <br />S350 . <br />R -• ;_. others $250 <br />R- I, R-2 S t'• all others $250 <br />SI00 <br />S I 25 /acre; rnin S125 max $750 <br />R-1, R -2 S 150; all others $200 <br />R-1, R -2 S25; all others 3100 <br />5200 <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 atter consideration of the application is completed <br />Please complete the reverse side of this applications <br />