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Oct. 22 98 04:08p <br />P <br />•`a <br />Applicant Information <br />Name of Applicant <br />Address . <br />Wender1 1 R. Smith <br />612- 484 -0699 <br />p. <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />DEVELOPMENT APPLICATION <br />2401 Iighway I0, Mounds View MN 55112 <br />612 -717 -4020 <br />612 - 7843462 - FAX <br />Please Type or Print Information - Complete Both Sides of This Forth <br />dcl y DJ wciov <br />Telephone 60- 7 5Y 7 YG 0 <br />Fax ri!? /,Fe <br />Interest in Property (check appropriate box) <br />Owner of Property <br />0 Lessee, Operator, Manager 0 Contract for Deed Owner <br />Q Other (explain) ° Agreement to purchase <br />Applicants must provide evidence of interest hi 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 />'Legat Description .. _... _ _ <br />Property Identification *CM. #) <br /># of Acres <br />Current zoning <br />Type of Application <br />• Comprehensive PIan Amendment <br />• Rezoning • <br />• Major Subdivision <br />• Minor Subdivision <br />6 Planned Unit Development (PUD) <br />• PUD Amendment <br />Q Conditional Use Permit <br />Variance <br />O Code Appeal <br />O Develop Review /Site Plan <br />O Wetland Alteration Permit <br />O WetfandBulferPermit <br />0. Floodplain Permit <br />O Other <br />5250 <br />$250 /acre; min $250 max. $1500 <br />$250 + $250 deposit* <br />S200 <br />Refer to rezoning fees <br />$350 <br />R -1, R -2 $75; ail others $250 <br />R -1, R -2 S 100 all others $250 <br />5100 <br />S125/acre; min $125 ntax $750 <br />R -1, R -2 S150; all others $200 <br />R -1, R -2 $25; all others $1.00 <br />5200 <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 stall 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 (3O).days after consideration of the application is completed. <br />