Laserfiche WebLink
inene 17 <br />4 <br />Applicant Information <br />Name of Applicant <br />Address <br />Please Type or Print Informatio <br />rk-,1. p1 elk/ -4 <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />DEVELOPMENT APPLICATION <br />2401 Highway 10, Mounds View MN 5511 <br />612- 717-4020 <br />612484 -3462 - FAX <br />n - Complete Both Sides of This Form <br />Interest in Property (check appropriate box) <br />VI, Owner of Property a. .. - <br />a Lessee, Operator, Manager .Q Agreement to Purchase <br />0 - 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 />Address of General Location <br />_ Legal Description <br />Telephone (/ � - 7 ' - 73 2 <br />Fax 1, /2- 7854-0 /o7 - <br />Contract for Deed Owner <br />Property Identification # IN <br />- # of Acres <br />Current Zoning <br />d3 '?, •,� <br />Type of-Application <br />a Comprehensive Plan Amendment <br />0 Rezoning <br />a Major Subdivision <br />0 Minor Subdivision <br />a Planned Unit Development (PUD) <br />a PUD Amendment <br />0 <br />a <br />a Develop Review /Site Plan <br />o Wetland Alteration Permit <br />a Wetland Buffer Permit <br />Q <br />Floodplain Permit <br />a Other <br />S250 <br />S250 /acre; min S250 max S 1500 <br />S250 ± S250 deposit* <br />$200 <br />Refer to rezoning fees <br />5350 <br />R-1, R -2 S75; all others $250 <br />R4, R -2 S I O0 all oth <br />SI00 <br />• $ 125 /acre; min S125 max S750 <br />R-1, R -2 S150; all others 5200 <br />R-1, R -2 S25; ail others S t 00 <br />$200 <br />'"Deposits shall be paid to cover all costs of public notices, materials and stator consultant tune spent in the review, <br />research or preparation of materials associated with this application. The applicant shalt 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 thirty (30) days after consideration ot'the application is completed- <br />Please complete the reverse side of this application., <br />