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-- - r• DtPP Pifilt4��1�y <br />rA <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 />- ... 612 ®784 -3462 ® FAX <br />Please Type or Print Information - Complete Both Sides of This Form <br />- Interest in Property (check appropriate box) <br />x - 0caner` �a Property -r _ ---r ., yy _ pw,�,,_ 7� - <br />Y_Gg..�._}..-'t� Ct�i- $.Fmi.1LL.t�d® <br />Operator, Manager ✓ ra - ..ate <br />• <br />Other (explain) I a .Agreement to Phase' ? _f:.. .. ... v • .... . <br />Telephone <br />Applicants must provide evidence of interest in �p �.._.•�� <br />p rty at the time of application, and if you are not the owner of the <br />property, you must provide a letter of permissions from the owner giving-consent <br />props owner to the Ms' of than application. The <br />property must sign this application for it to he 'accepted.. r r _ , _ <br />Property Description/Proposal ' <br />Address or General - <br />Legal D sc ptt .- a _.i ��, -• -_ _ .. -L �,�. �.... ..Z• <br />1dentifiCatxon #.(p)N- y �.: $ e v= rte• I4+ tS' •••• <br />M4,11! b 4i 4�� <br /># of Acres <br />Cwt Zoning <br />Type of Application <br />Reso, de <br />.. Comprehe,sive Plan Amendment' <br />a Rezoning <br />❑ Major Subdivision <br />a Minor Subdivision <br />'❑ Planned Unit Development (PUD) <br />❑ <br />PUD Amendment <br />• Conditional Use Permit <br />Variance <br />❑ Code Appeal <br />Q Develop Review /Site Plan <br />❑ Wetland Alteration Permit <br />❑ Wetland Buffer Permit <br />❑ Floodplain Permit <br />❑ Other <br />5250 /acre, min S250 max SI 500 <br />5250 +5250 deposit* <br />$200 <br />Refer to rezoning fees <br />5350 <br />- .R-I, R -2 S75; all others 5250 <br />R -1, R -2 S i 00 all others 5250 <br />5100 <br />S125/acre, min 5125 max 5750 <br />R -1, R -2 5150; all others 5200 <br />_R-1, R -2 S25; all others 5100 <br />5200 <br />*Deposits shall be paid to cover all costs of public notic,s, 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 alter consideration of the application is completed. <br />Please complete the reverse aide of this application. <br />