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R� �� <br />Y <br />rSl ";:." �;a <br />tt3 s�� � r� <br />.J;:,� ., :,;v <br />.� <br />� ,. <br />pe ':f�!''�� <br />,�P � i::: f+ <br />A ti <br />��'St � f alCRE1Sh�Q <br />Applisane I�foe°�na�io� <br />Name of Applicatit <br />Address <br />CO DE�LOP NT DEP� �T _.. <br />����,o� raT ����r���zor ; ;; ., <br />2401 Highway 10, Mounds t/iew MN SS I 12 <br />�lea�e 'I'ype or ��i�t Info�mation � Co�plete Bot� uid�s oi Tfiis Foe°� <br />�rest � �r�per4y (check appropriate box) <br />Owner ofProperty <br />� Lessee, Operator, Manager <br />❑ Other (explain) <br />Cl <br />■ <br />5i2-i17-aa2o <br />b12�784-3452 - FAX <br />rphoae �0����/ 7- � <br />Contract for Deed Owner <br />Agreement to Purchase <br />[��apGcaret� �s�est provide e�icleoce of iaterest in property �i ti�� t�e of application, and if yoe� as°e not t�e o�e� af the <br />properu�, yo�a ffiaast peovid� m tetter ot pet°eaissio� fro� fihe ow�er giviatg co�sernf io the f�ling of t�is applicatioa. Tlxs <br />property own�r �ust si�n thi� applica�so� for if to be acceptsd. <br />Propec� IDescriptianl�roposal <br />Address or Gen�ral Location <br />Legal Description <br />Property Id�Eification # (I'IIV #) <br />#� of Acres <br />Current Zoning <br />Type of Application <br />❑ Comprehensive Plan Amendment <br />a Rezoning <br />❑ Major Subdivision <br />� Minor Subdivision <br />❑ PIanned Unit Development (PUD) <br />o PUD Amendment <br />Conditional Use Pemtit <br />d Variance <br />a Code Appeaf <br />� Develop Review/Site Plan <br />a Wetiand Alteration Pem�it <br />� WeEtand Buffer Permic <br />o Floodpi�in Permit <br />� Otlier <br />� <br />�250 <br />$2S0%cre; inin $250 max � I 500 <br />$254 + $Z50 deposit� <br />�200 <br />Refer to rezoning fees <br />�350 <br />R-i, R-2 �75; all othars $250 <br />R- I, R-2 � 1 QO all others �250 <br />�t00 <br />$125/acre; mir� $ I2S max $750 <br />R- E, R-2 $ i 50; aIl others �200 <br />R-1. R-2 $25; all others $100 <br />$200 <br />\ ``; <br />( � <br />*Deposits shal] be paid to cover �ii costs o;Fpublic notices, materials and st�ffar consultant time spent in th� review, <br />research or preparacion of materiais associated vvith this appiication. The applicant shall be responsible for all reasonable <br />incurred costs in excess of [he initia[ deposit amount. An,v portion of the deposit not spent or encumbered shatl be re1'unded <br />to the appEic�nt wiihiaa thirty (3U) days afCer cQnsideration of the application is completed, <br />�lea�� com�slere etee reve�s� �ide oig#�is applic:�t�o�o <br />� � ' � <br />