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.117:r7.1P <br />rms <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />DEVELOPMENT APPLICATION <br />2401 Highway 10, Mounds View MN 55117 <br />612-717-407 <br />612-7843462 - FA:N. <br />Please Type or Print Information - Complete Both Sides of This Form <br />Applicant Information <br />Name of Applicant <br />Addres& - - - --9;1(Ne6skazi <br />Telephone ?t, <br />Fax - <br />Inteirest in Property (check appropriate box) . -1 ": • -- ' . : <br />43' • Owner of ProPertr.7r P :4:7.-1 Contract for Deed Owner <br />• Lessee, Operator, Manager C Agreement to Purchase :- <br />O Other (explain) <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, you must provide a letter 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 />= 13-(90_q--", • <br />Property Iclentukatton <br />it • - c•-,03r*•:i <br /># of Acres <br />Current Zoning 1 <br />Type of Application <br />• - Comprehensive Ilan Amendment _ S250 • <br />0 <br />Rezoning <br />O Major Subdivision <br />O Minor Subdivision <br />• Planned Unit Development (PUD) _ <br />• • • <br />$250/acre; min S250 max S1500 <br />S250 -1-S250 deposit* <br />S200 <br />Refer to rezoning fees <br />O PUD Amendment S350 • <br />'7.4Af Conditional Use Permit . <br />R-1, R others S250 . - <br />_ _ <br />O Variance , -- • . • ; R-1, R- 100 all others S250 <br />• Code Appeal <br />O Develop Review/Site Plan . . SUS/acre; min $125 max $750 <br />O . .Wetland Alteration Permit . R4R2Sj50.l1th$2ao <br />O „Wetland Buffer , : .. R-1, R-2 S25:. allothers_S1 op <br />O - Floodpiain Permit — S200 <br />O - Other - <br />• <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 =aunt. 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 />