Laserfiche WebLink
allArt <br />r :erg r <br />:rim <br />'44 ° Pmemcnt`�Q' <br />Applicant Information <br />Name of Applicant <br />Address <br />.ti <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />DEVELOPMENT APPLICATION <br />2401 Highway 10, Mounds View MN 55112 <br />612 -717 -4020 <br />612 -784 -3462 - FAX <br />Please Type or Print Information - Complete Both Sides of This Form <br />!mo <br />5- <br />f� lc )171-2 <br />Telephone AZ ` 7 q d '07 <br />- Fax <br />Interest in Property (check appropriate box) <br />Owner of Property <br />a Lessee, Operator, Manager <br />0 Other (explain) <br />❑ Contract for Deed Owner <br />O 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, 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 />.Address or General Location <br />Legal Description <br />Property Identification # (PIN 4) <br /># of Acres <br />Current Zoning <br />it/3 3' I�br 1fie I I d7- <br />Type of Application <br />❑ Comprehensive Plan Amendment <br />❑ Rezoning <br />O Major Subdivision <br />O Minor Subdivision <br />O Planned Unit Development (PUD) <br />❑ PUD Amendment <br />❑ Conditional Use Permit <br />Variance <br />❑ Code Appeal <br />O Develop Review /Site Plan <br />❑ Wetland Alteration Permit <br />C3 Wetland Buffer Permit <br />O Floodplain Permit <br />❑ Other <br />5250 <br />5250 /acre; min 5250 max S1500 <br />S250 -1- S250 deposit* <br />5200 <br />Refer to rezoning fees <br />S350 <br />R- I, R -2 S75; all others 5250 <br />R-1, R -2 S 100 all others $250 <br />$100 <br />S 125 /acre; min S125 mar $750 <br />R-1, R -2 S150; all others 5200 <br />R -1, R -2 S25; ail others $ I00 <br />S200 <br />Deposits shall be paid to cover all costs of public notices, materials and staff or consultant time spent in the review, <br />;°search 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_ Anv portion of the deposit not spent or encumbered shall be refunded <br />to the applicant within thirz_y (30) days after consideration of the application is completed_ <br />Please complete the reverse side of this application. <br />