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�� <br />� <br />��•.c�yr ,�.t,�, <br />L';yJ� u wL <br />-.. .. <br />�. , <br />_.� --- - — --- -- _ - <br />�,��;��,",;;�; COMMUNITY DEVELOPMENT DEPARTMENT <br />,, DEVELOPMENT APPLICATION <br />p i.�};i+,;! 2401 Highway 10, Mounds View MN 55112 <br />�� � 612-717-4020 <br />,n�h� • Pa`c`jecs�`� 612-784-3462 - FAX <br />Please Type or Print Information - Complete Both Sides of This Form - <br />Applicant Information C `� 1 ° �c�5 a�C� �(� _ t b � <br />Name of Applicant � `� � ` � P � �2' � � � `-e-- Telephone <br />Address J Z� C� �`J �.�_2A.J � O� � C.. �U Fax ct S� -�1 a9 - l <br />U <br />m�l.s��.-E�ol�3 � � . S 5 �-a4� <br />Interest in Property (check appropriate box) � <br />�°" Owner of Property ❑ Contract for Deed Owner <br />❑ Lessee, Operator, Manager ❑ Agreement to Purchase <br />❑ Other (expla'vn) <br />Applicaqts 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 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 � `� L, _ - C,� <br />Address or General Location - � 1`� � �w `'�r V ���� �(�� ,�.�1 S S t I"]� <br />Legal Description _ L" °� � �� � � �' � rn � �"'� � ��'� � <br />Property Ident�cation #(PIN #) ��1 3 O a.. 3 l'-4 b o 0 5�- <br /># of Acres <br />Current Zoning <br />l > ei`-E'].�o <br />� 't <br />Type of Application <br />❑ Comprehensive Plan Amendmen[ <br />❑ Rezoning <br />❑ Major Subdivision <br />❑ Minor Subdivision <br />❑ Planned Unit Development (PUD) <br />❑ PUD Arriendment <br />� Conditional Use Permit <br />❑ Variance <br />❑ Code Appeal <br />❑ Develop Review/Site Plan <br />❑ Wetland Alteration Pernut <br />❑ Wetland Buffer Permit <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 $250 <br />$]00 <br />$125/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 />*Deposits shall be paid to cover all 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 shall be responsible for all reasonable <br />incurred costs in excess of the isutial 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 />� <br />l-� <br />