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CTS <br />Applicant Information <br />Name of Applicant <br />Address <br />COMIVIUNITY 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 />/ p W i/y . 1 i. <br />e4 er n c �� r�,'. /W /V- S s') / 2 . <br />Interest in Property (check appropriate box) <br />X Owner of Property <br />O Lessee, Operator, Manager <br />o Other (explain) <br />Telephone //), 2s 7. 7 <br />Fax <br />O 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 filling of this application- The <br />property owner must sign this application for it to be accepted, <br />Property Description/Proposal ���g '�� J, <br />Address or General Location L tPeF7 <br />g4 s /fir We..11 <br />Legal Description <br />gi'vmheek- 5eeeol lezt-tri ,Mt 4-- :2 .L <br />Property Identification #(PIN Q . SO ,23 31 e7D� 1 I <br /># of Acres <br />Current Zoning <br />Type of Application <br />0 <br />a <br />a <br />0 <br />Q <br />Q <br />Comprehensive PIan 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 />Floodplain Permit <br />Other <br />S250 <br />$250 /acre; min $250 max S1 500 <br />S250 -- $250 deposit* <br />S200 <br />Refer to rezoning fees <br />S350 <br />R-1, R -2 $75; all others $250 <br />R- I. R -2 5100 all others $250 <br />$100 <br />$ 125 /acre, min $125 max $750 <br />R -1, R -2 S l 50; all others 5200 <br />R -1, R -2 $25; all others S100 <br />S200 <br />Akdea7 t4 <br />'I1- Seagoar Xi/ <br />h4h7e ;3. <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 Any portion of the deposit not spent or encumbered shall be refisnded <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 />