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.��. ,� �,> <br />i �, �,� <br />;�;1�;�?;;�;,? COMMUNITY DEVELOPMENT DEPARTMENT <br />., DEVELOPMENT APPLICATION <br />p �;(,�i;+�� 2401 Highway 10, Mounds View MN 55112 <br />�'�'°�,,, �,p� 612-717-4020 <br />id ' Parcners <br />612-784-3462 - FAX <br />Please Type or Print Information - Complete Both Sides of This Form <br />Applicant Information /� <br />Name of Applicant � ���� W� �IQR.%t5_ ��_ _�_ <br />Address . ' 3 � 5 WRs��rx��o►.l �R•d�. <br />Su��. �5 <br />£Aa�a rnrJ 55�aa <br />Interest in Property (check appropriate box) <br />❑ Owner of Propecty <br />D( Lessee, Operator, Manager <br />❑ Other (explain) <br />Telephone � 5 � - � �� ����� <br />Fax Cs1- y�l- �95. <br />❑ Contract for Deed Owner <br />❑ Agreement to Purchase <br />Applicants must provide evidence of interest in property at the time of application, and if you arc not the owner of the <br />property, you must provide a letter of permission from the owner giving consent to the filing of this application. The <br />property owner must sign this application for it to be accepted. <br />Property Description/Proposal <br />Address or General Location <br />Legal Description <br />Property Identification # (PIN #) <br /># of Acres <br />Current Zoning <br />a�(oQ Cou�.rr•� Ra�l �3 <br />see �.�.�l��l s��e�ev Is�e ��� _ <br />Co!►��hPJ2C �G.� <br />Type of Application <br />❑ Comprehensive Plan Amendment <br />❑ Rezoning <br />❑ Major Subdivision <br />❑ Minor Subdivision <br />o Planned Unit Development (PUD) <br />❑ PUD Amendment , <br />l� Conditional Use Permit C.���+��� <br />❑ Variance <br />❑ Code Appeal <br />❑ Develop Review/Site Plan <br />❑ Wetland Alteration Permit <br />❑ Wetland Buffer Permit <br />o Floodplain Permit <br />❑ Other <br />$25� <br />$250/acre; min $250 max $1500 <br />$250 + $250 deposit* <br />$200 <br />Refer to rezoning fees <br />$350 <br />R-1, R-2 $75; all others $250 <br />R-1, R-2 $100 all others $250 <br />$100 <br />$ I 25/acre; min $125 max $750 <br />R-1, R-2 $150; all others $200 <br />R-1, R-2 $25; all others $100 <br />$200 <br />� �c. oo-a0da <br />*Deposits shall be paid to cover all costs of public notices, materials and staff or consultant time spent in the review, <br />research or preparation of matecials associated with this application. The applicant shall be responsible for all reasonable <br />incurred costs in excess of the initial deposit amount. Any portion of the deposit not spent or encumbered shall be refunded <br />to the applicant within thirty (30) days after consideration of the application is completed. <br />Please complete the reverse side of this application. <br />