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�'�`� �[� <br />.::,, :�:, r(� <br />��Ji `� �' ::'•'.; L;!; �;, <br />.� <br />" i;�=:;;+,f <br />eAf <br />, <br />�Mjt ' Partne'���Q <br />COIVIMUNI'TY DEVELOPMENT DEPARTMENT <br />DEVELOPMENT APPLICATION <br />2401 Highway 10, Mounds View NIN 55112 <br />6i2-�1�-ao2o <br />612-784-3462 - FAX <br />Please Type or Pru�t Information - Complete Both Sides of This Form <br />Applicant Information � l , L <br />Name of Applicant � �l�i 'v�� 1 C� � �--1 S � �t q � f � �" e � � �U �� { � Telephone � � Z � ?8 � � `� � z � <br />Address g� ?� �o v� c� ��� ��e ��d Fax <br />Nlo�wdSU,F:.J M +�J SSIr� <br />Interest in Property (check appropriate box) <br />� Owner of Property <br />❑ Lessee, Operator, Manager <br />❑ Other (explain) <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 are not the owner of tl�e <br />ptoperty, you must providc a lettcr of permission from thc owncr giving consent to the filing of this application. Tl�e <br />property owner must sign this application for it to Ue accepted. <br />Property Dcscription/Proposal <br />Address or General Location g 03 � 1. 0 v� <br />Legal Description S � � �a F �" �� �. ° -i- � ; S � 2 ( n1 c' �— k" ��2 �c (-� ` � � �' ,e`'� <br />Property Ident�cation # (P1N #) 2 � i -t- t )C �� 't t <br /># of Acres <br />Ciurent Zoning <br />oy2 <br />Type of Application <br />❑ Comprehensive Plan Amendment <br />❑ Rezoning <br />❑ Major Subdivision <br />❑ Minor Subdivision <br />❑ Planned Unit Development (PUD) <br />❑ PUD Amendment <br />,� Conditional Use Permit <br />❑ Variance <br />❑ Code Appeal <br />❑ Develop Review/Site Plan <br />❑ Wetlatld Alteration Pemut <br />❑ Wetland Buffer Pemut <br />❑ Floodplain Pernut <br />❑ Other <br />$250 <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 />$125/acre; min $ I 25 max $750 <br />R-1, R-2 $150; all others $200 <br />R-1, R-2 $25; all others $100 <br />$200 <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 materials 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 thc reverse side oi'this application. <br />