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-. , . , <br />.. _; ; . . . . : ,;. <br />�,. iA� ��.! <br />`:'/�� �Lii' <br />j);ii`.�'?sl.�!�':�,� C.� 1`�ld Y$ 39�r i� �` ��A l� 1 HJL`ed tSalO 1V S <br />-- ,, T)E�I,OPIVI�I�'I' �PP�.ICA'I"IOI�I <br />� ;,,:-<.:r: 240i Highway 10, Mounds View I�1N 55112 <br />� "ia �:��j 612-717�4a20 <br />ep`oR�rp ° P2It�e'��r��a <br />612-784-34b2 m F.�XX <br />Pleas� Type oe Pri�t Infoemation - Co��lete �mth �id�s oiTitis Foe� <br />�_=:-�.=>'; <br />Applicant Ixtfo�ation /� r j � <br />Name of Applicani G� J d <br />Address /_� ��& q'� Q�lNh/ �?tvr.-�� <br />� � � �-C v r =.t�+ti/ <br />_.z—�._. <br />I�aterest ia 1'rapee°iy (check appropriafis box) <br />� Owner of Praperty <br />o Lessee, Operator, Manager <br />a Other (eYpiain) <br />Telephone (9�L ���'�`i�� <br />Fax _ _ _ __ <br />[� Contract for Deed Owner <br />Q Agreement to Purchase <br />Applica�ts ��s� peovide evidence of a�teres# ira property at the time of appGcation, and if yoaa a�e not tt�e owne� aff tE�e <br />pt°opee°ty, you rnusf pro�ic3e a tettet° 08 peemission ft�om the ownee gi�i�g co�seai to Fbe ftBiog of ibis applicatio�, '1'�e <br />propee°ty o�er nua�st sig� i(��s appi�cation for it to be accepted. <br />Propee°t� Desceiptloa9/Proposal <br />Address or Generai T,ocation <br />Legal Description <br />Property Identification # (PIN #) <br /># of Acres <br />Cucrent Zoning <br />�-30-� °13�4n5�y <br />Type of Applicafion <br />❑ Comprehensive Ptan Amendment <br />❑ Rezoning <br />Q Major Subdivision <br />a Minor Subdivision <br />❑ Planned Unit Development (PUD) <br />o PUD Amendment <br />❑ Conditional Use Permit <br />� Variance " <br />' t� Code AppeaE <br />o Devetop Review/Site Plan <br />❑ Wetland A3teration Permit <br />o W�dand But�er Perinit <br />❑ F'ioodpiain Pernut <br />Q Other <br />$250 <br />$250/acre; min �250 max $ i 540 <br />$254 + $250 deposie'� <br />$200 <br />Refer to rezoning fees <br />$350 <br />R-k, R-2 $75; atl others $250 <br />R- t, R-2 � 100 nll others $25fl <br />$100 <br />$125/acre; min $125 max $75� <br />�2-1. R-2 $ i 50; al! others $20Q <br />R-1, R-2 �25; all otl3ers � 100 <br />$200 <br />�Deposits shall be paid to cover a[1 costs of public notices, materials and staff or cansultant time spent in the review, <br />research or preparation u#'ma[erials associated wit4t tlus appiication. The applicant shall be responsible for ail reasonable <br />incurred costs in excess of the initial deposit amount. Any portion of the deposit not spent or encumbered shall b� refunded <br />to the app[icant wichin thirty (30) days ai�er consideration ot the applicution is cornpleted. <br />�le;ase cor�pleie the rewee�e si�le af thes appiisationo <br />�. <br />