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o i p. 2 <br />'COMMUNITY DEVELOPMENT DEPARTMENT <br />Ala fv1 DEVELOPMENT APPLICATION <br />4.4 .4 e irie, a 2401 Iighway 10, Mound 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 />Applicant Information <br />Naive of Applicant 1.3 r .. <br />Address <br />Interest in Property (check appropriate <br />Owner of Property PP priate box} <br />Lessee, Operator, Manager <br />• Other (explain) <br />gOo <br />h`l6 <br />&IA, D1 1//j <br />iii <br />(. <br />47. <br />Telephone '2 5Y ? SrGO <br />Q Contract for Deed Owner <br />ra Agreement to <br />Purchase <br />Applicants must _ _... <br />prov3de evidences of interest in property <br />property, you merest provide a letter of a p' at the times of application, and if you are not the owner of the <br />property owner emuat sign this application fors it to be a accep owner gig consent to the filing of This application. The <br />Property Description/Proposal <br />'Address araai Location.'. . ,:!i . <br />pEou t� , /.n4/41.f. 4,+_--tl 7./- <br />Property Identification #{PINT #) <br /># of Acres <br />Current Zoning <br />Type of Application <br />Comprehensive Plan Ameudmen <br />a Rezoning <br />Major Subdivision <br />Minor Subdivision <br />Planned Unit Development (MD <br />a PUD Amendment <br />0 Conditional Use Permit <br />Variance <br />a Code Appeal <br />o' Develop Review /Site Plan <br />Wetland Alteration Permit <br />a Wetland Huffer Permit <br />Q. Floodalain Permit <br />Other <br />t <br />} <br />S250 <br />5254 /acre; min S25Q max. S I 500 <br />5250 +0 deposit* <br />S200 <br />Refer ro rezoning fees <br />S350 <br />R -1, R -2 $75; all others S25Q <br />R -1, R -2 S 100 all others $250 <br />SI00 <br />S 125 /acre; min S125 max S750 <br />R -1, R -2 $150; all others S200 <br />R- I R -2 S25; all others S100 <br />S200 <br />*Deposits shall be paid to cover all costs of public notices, materials and for consultant time <br />rah or preparation of materials associated with this appf is uj t. The ant in the l yes review, <br />• incurred caste in excess of- the initial deposit applicant shah be responsible far. all <br />to the a ep amount Any portion of the deposit not spent or encumbered shall be reftmmded <br />applicant within thirty (30) days alter consideration of the application is completed. <br />