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�Q� o� <br />�MC��D� <br />� r <br />:� <br />" �1f�� <br />.or <br />S <br />d'r�,sS � partneKSh�Q <br />COMMUNI?Y DEVELOPMENT DEPARTMEN?' <br />PLANNING APPLICATIC <br />2401 County Road 10, Mounds View, MN 5511Z <br />(753) 717-4020 <br />Fax (6S1) 7b5-1560 <br />Please Type or Print Information - Complete Bath Sides of ihis Form <br />Applicant information � - , <br />Name of Applicant � �. Telephone � �' � � �5 <br />Address G � Fax <br />� E-mail <br />. �l � <br />interest in Property {check appropriate box) <br />�l: Owner of Property <br />�� Lessee, Qperator, Manager <br />0 Other (explain} <br />� Contract for Deed Owner <br />O Agreement to Purchase <br />Applicants must provide evldence of infierest in properly at the time of application, and if you are not .. <br />the owner of the property, you must provide a letter of permission from the owner giving consent t(�:` a <br />the filing of this application. The property owner must sign this application for it to be accepted. ' <br />ProperLy Description/Proposai <br />Address or General Location <br />Legal Description <br />Property Identificatlan # (PIN #) <br /># of Acres <br />Current Zoning <br />Type of Application <br />O Comprehensive Plan Amendment <br />O Rezoning <br />❑ Major_ Subdivision <br />O Minar Subdfvision <br />❑ Planned Unit Development {PUD) <br />❑ PUD Amendment <br />� � Conditfonal/Interim Use Permit <br />� Variance <br />❑ Code Appeal <br />� Develop Review/Site Plan <br />C7 Wetland Alteration Permit <br />❑ Wetland Buffer Permit <br />❑ Ffoodplaln Permit <br />❑ Other <br />$25Q <br />$250/acre (Min $250 max $1500) <br />$250/acre (min. $500) <br />$200 <br />$500 plus $500Jacre <br />$350 <br />R-1, R-2 $i00; all others $300 <br />R-1, R-2 $100 all others $300 <br />$100 <br />$125/acre; min $325 max $750 <br />R-1, R-2 $150; all others $200 <br />R-1, R-2 $25; a!1 others $100 <br />�2oa <br />A deposft may be requlred to cover cnsts of publfc notices, materiafs and staff or consuf�nt tlme spent in the review, research or <br />preparadon of materials assoGated wlth thfs appllcatlon. The appllcant shall be responsible for all reasonable Incurred costs In excess of <br />the lnitial depaslt arr�ount. Any portlon oi the deposlt not spent or encumbere� shaq be refunded to the appllcant withln 30 days after <br />conslderatlon of the appllcadon Is completed. • <br />