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�� <br />�;'I;��x;:[ �� COMMU1vITY DEVELOPMENT DEPARTMENT <br />.� DEVELOPMENT APPLICATION <br />°' ^°�^° 2401 Hi hwa 10 Mounds View MN 55112 <br />�.� i;[= ;��; g Y � <br />612-717-4020 <br />,o�r`'jf • �'rrn��`"'�y 612-784-3462 - FAX <br />Please Type or Print Information - Complete Both Sides of This Form <br />AppGcant Ynformation <br />Name of Applicant :� �/�� l�: LJ � I�LC I� SCf�-� ttM (/� % Telephone 7.S1,6 — Z J S j <br />Address 21 s�� `r� (Z � r�L� f,iri� 1(%i Fax <br />(�'1C�cJ tJDS tJie�� , (M J� � 5((Z <br />Interest in Property (check appropriate box) <br />� Owner of Property o Contract for Deed Owner <br />❑ Lessee, Operator, Manager o Agreement to Purchase <br />❑ Other (explain) <br />Applicants must provide evidence of interest in property at the time of application, and if you are not the owner of the <br />property, you must provide a letter of permission from thc owner giving consent to the filing of this application. The <br />property owner must sign this application for it to 6e accepted. - <br />Property Description/Proposal � . <br />Address or General Location � f � � ��-�� �4� (-� ��� �� <br />Legal Description �. C7 ! (�l r3L o C K z-. ,� I� C� �7 �{� I���� <br />Property Ident�cation # (PIN #) <br /># of Acres <br />ciurent zoning �� S f ���.°`�'I -7 �/�'Ll <br />Type of Application <br />❑ Comprehensive Plan Amendment $250 <br />❑ Rezoniz�g $250/acre; min $250 max $1500 <br />❑ Major Subdivision $250 + $250 deposit* <br />❑ Minor Subdivision $200 <br />o Planned Unit Development (PUD) Refer to rezoning fees <br />❑ PUD Amendment $350 <br />� Conditionai Use Permit R-1, R-2 75� all others $250 <br />❑ Variance R-1, R-2 $100 all others $250 <br />❑ Code Appeal $100 <br />❑ Develop Review/Site Plan $ I 25/acre; min $] 25 max $750 <br />❑ Wetland Alteration Permit R-1, R-2 $150; all others $200 <br />❑ Wetland BuEfer Pernvt R-1, R-2 $25; all others $100 <br />o Floodplain Permit $200 <br />❑ Other _ <br />*Deposits shall be paid to cover al] costs of public notices, materials and staff or consultant tune spent in the review, <br />research or preparation of materials associated with this application. The applicant shatl 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 />