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- - _.. --- -- - <br />08/08/01 1b:34 FAX 612 784 3462 CITY OF MV <br />�ITY OFj <br />A <br />;• <br />P <br />. <br />��' <br />'r i�� <br />.s <br />o�r�s'�' Farrne���4 <br />_ i _ <br />�1002/005 , <br />COMMUNITY DEVE�OPMENT DEPARTMEI� <br />PLANNING qppLiCATlON <br />2401 County Road 10, Mounds View, MN 55i12 <br />{7b3) 717�OZp <br />Fax (b51} 765-i6fi0 <br />Pltase 7ype or Fri�t In�orrnadon - Complebe goth 9ides of This �orm <br />Appllcant Intormativn �/ <br />Name vf Appllcant w� Teleahone �'Z �I—`G� <br />Address • • <br />� Fax �� L �'o�r� <br />. � t3 <br />interes'� in Prop�Ky (che�k aPproP�� box) <br />� owner of property t�s� <br />0 Lessee, Opp,rdto�, Manager <br />4 Other (explain) <br />O ContTact for Deed 4wner <br />❑ Agreement to Pnrchase <br />Applirants rt�ust pravlde evidence of ir�er�est i� property at the time of applicatian, and if you are not J <br />the owner of tlse praperly, you must prvvide a letter of permissioe from the owner givinq consent to " <br />the filing of this appllca4oa. The property owner mu�t sign this appliwbon for it to be acoepted, <br />PrvRer�Y �es�ipiion/Propasal <br />Addrpss or General Lnr,�tion <br />L.egal Descrlptlon <br />Property Identifimbon # (PIN #) <br /># of AQes <br />Current Zoning <br />� <br />�'YPe of Appliotion <br />O Camprehensive Ptan Amendment <br />❑ Rpzoning <br />❑ Major 5ubdivision <br />❑ Minor Subdivision <br />❑ planned U�it Development (PUD} <br />O PUD Amendment <br />❑ Conditional/Interim Use Permit <br />� Varlanoe ° <br />❑ Cade Appeal <br />❑ Develop Review/Site Plan <br />O Wetland Alberation Permit <br />❑ wetland Buffer Permit <br />C7 Floodplain Permit <br />❑ Other <br />�250 <br />�250/ave (Min $Z50 max $15�0) <br />�?SO/aQe (min. $500) <br />$208 <br />�500 plus $500/acre <br />�350 <br />R i, R-z $100; all othe�s <br />R-1, R-2 $I08 all ers $300 <br />;100 <br />#!25/aQe; min $i75 max �750 <br />R-1, R z$150; all okhers �200 <br />R-1, R-Z $25; a1! others $].00 <br />$ZAO <br />A deposle may be required to oover cost•, o� public no��es, ma�nais and �ff or consultant Gme spent in U�e rtview, RSeard� ar <br />Dreparadon oF inaterlals asoda6ed wlth qtls appliotion. The applimnt s�al! be responstble for all reasqnable inwrred tosts in �ess oF <br />the lnitlef deppsit amount My portlon or tl�e Qeposit not spent or �alrrtibered shall be refLinded Go tl1e appllcant witfiln 30 �ays al�r <br />conslderadan of the applicatlan Is completed. <br />