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��rY oF <br />��UV�� <br />� � <br />:• <br />� ��UV <br />:o <br />� ,S <br />��rera • Partne�S� � <br />COMMUNIZY DEVELOPMENT DEPARTMENT <br />PLANNING APRLICATTQN <br />2401 County Road 10, Mounds View, MN 55112 <br />(7fi3) 717-4020 <br />Fax (651} 7fi5-1660 <br />Please Type or Print Informatioe - Camplete Soth Sides of This Form <br />Applicant Information f � ,(� /' / /�.SE'� Tel�phone ��D.3 - �� .� /��% <br />Name of Applicant � �',_ «r <br />Address c�-� � � �'� �: /9h � %���� _ Fax ln 5 1' �3f - . <br />yy� �,�,� �� <br />. . ��,. <br />Interest in Property {check appropriate box) <br />Owner of Property <br />❑ Lessee, Operator, Manager <br />❑ Other (explain) <br />0 Contract for Deed Owner <br />❑ Agreement to Purchase <br />Applicants must provide evidence of interest in property at the time of application, and �f you are not <br />j the owner of the property, yau must provide a letter of permission from the owner giving consent to <br />- the filing of this application. The property owner must sign this application for it to be accepted. <br />Properly Description/Proposal <br />Address or General Location <br />Legal Description <br />Property Identiflcation # (PIN #) <br /># of Acres <br />Current Zoning <br />�' 36� � ��� ��7 c/ �� <br />c�(� 3va��J � 5 .. <br />Type of Applicafion <br />❑ Comprehensive Plan Amendment <br />0 Rezoning <br />❑ Majar Subdivision � <br />❑ Minor Subdivision <br />� Planned Unit Development (PUD) <br />❑ PUD Amendment <br />�I Conditional/Interim Use Permit <br />� O Variance <br />❑ Code Appeal <br />❑ Develap Review/Site Plan <br />O Wetland Alteration Permit <br />❑ Wetland Buffer Permit <br />❑ Floodplain Perinit <br />� Other <br />$250 <br />$250/acre {Min $250 max $15U0) <br />$250/acre (min. $500) <br />$200 � <br />$500 plus $500/acre <br />$350 <br />R-1, R-2 $104; all others $300 <br />R-i, R-2 $100 al� others $300 <br />$100 <br />$125/acre; min $i25 max $750 <br />R-1, R-2 $150; all othe�s $Z00 <br />R-1, R-2 $25; all others $10U <br />$200 <br />A depos9t may be requfred to cover costs of public notices, mate�ials and staff or consultant time spent in the review, research or <br />preparation of materlals assodated with thls appiicadon. The appllcant shall be responsible for all reasanable incurred costs in excess of <br />the initial deposit amount, Any porUon af the deposlt not spent or encumbered shall be refunded to the appllcant within 30 days aRer <br />considera4on of the appllcatlon is completed. <br />