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Ra.. � ,z�r,i <br />Fve' i. �, i.• <br />'��'��`�:;�:�- COMMUNITY DEVELOPMENT DEPARTMENT <br />:. �,., <br />A DEVELOPMENT APPLTCAI'IO' <br />� ::�:�,,;;;- <br />•,�� ::i�:�r�;, 2401 Highway 10, Mounds View MN 5511� <br />n��'rt ° partner5��e� 612-717-4020 <br />6I2-784-3462 - FAX <br />Please Type or Print Information - Complete Both Sides of This Form <br />Applicant Information <br />Name of Applicant <br />Address <br />Thomas Stampfle Telephone ( 61 2) 780-9022 <br />2832 Wooddale Drive F� <br />_ Moundsview, MN 55112 <br />Interest in Property (check appropriate box) � <br />� Owner of Property ❑ 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 appGcation, and if you are not the owner of the <br />property, you must provide a letter of permission from the owner giving consent to the iiling of this appGcation. 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 />Cuirent Zoning <br />2832 Wooddale Drive <br />Lot #92 Knollwood Park <br />.832 <br />Residential � <br />Type of Application <br />❑ Comprehensive Plan Amendment <br />❑ . Rczoning <br />o Major Subdivision <br />❑ Minor Subdivision <br />❑ Planned Unit Development (PUD) <br />❑ PUD A.mendment <br />� Conditional Use Pemut <br />Q Variance <br />❑ Code Appeal <br />� ❑ Develop Review/Site Plan <br />❑ Wetland Alteration Pecmi[ <br />❑ Wetland Buffer Perniit <br />o Floodplain Pernvit � <br />❑ Other <br />$250 <br />$250/acre; min $250 max $ I 500 <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 $125 max $750 <br />R-1, R-Z $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 no[ices, materials and staffor consultant time spent in the review, <br />research or preparation of materials associated with this application. The applicaint 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 coroplete the reverse side of this application. <br />