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_ <br />t - , ; - = - - ---'- �i � ' � <br />. . - -- _ . ., __ _ , = . _ <br />--- - >. , : _ - <br />._; . . �� <br />_ . . --- - - - . _ _ ,_.> <br />_ ,. <br />_� _ - <br />F� Y E +�' <br />ll7j����l?� ��? <br />.� <br />�,A 1�� yn�� <br />og`� ' p�rtaeR���' <br />r <br />COMMUNTTY DEVELOPMENT DEPART'MEI� � <br />DEVELOYM�NT APPLICATION <br />2401 Hi�hway 10, Mounds View MN SS 112 <br />, 612-717-4020 <br />612-784-3462 - FAX <br />Please Typc or prant Information - Complctc Both Side� oiThi9 Fonn <br />Apptkant Information <br />Nsme of Appli�ant }� S� (Zp Pe(L.'j"j LS ,�L (� Telephone � ��'� 29 • i� � g <br />�„ddress �3 8� 5��dq e�,v o o d�-v C��u e S� v-}�-� Fax <br />_'� L v1,'v�2 a� o ��$,� 1`� t� �n.e r o-� SS �'Z � <br />1 <br />'�` All Co(1-2csponr�ehie stiou�d�c d�2r�Fe�P -fa Dec�iSe (�o`f-�6a✓��'i- u�W�u��'{' �Wein�sh�e,P.t�. <br />Ynterest in Prnpca�t7 (chcck appropriate box) , <br />� Owper of Proper�y 0 Contcacc for Deed Ovmcr <br />� I�es.�sae. Operatar, Manager o �4�roemcnt to Purch�.� <br />p Other (explain) <br />Applicant� must provide evideuce of intetxat ip property at the time of arplication, and if you are not the owner of the <br />properiy, you must provide a letter oT permu�ion from the owner �iving consent ro ehe Pilin� of this appiicatiuo. The <br />property owner must aign thia application for it to be aecepted. <br />Prnperty Dcecription/Propo�al I,, <br />Ad�ess or Gcn�-al Location � 1 �-f � �� ��l {-(i ��hw�.0 �l� �' `p�ncf S �%� c �'✓ � � �. ��a� S�.\l <br />Legal Descriprion ��t- 2,�, lo �,k_. I �t'1 � c1w c��„ .1.�nc�.� s+�r,'w t J <br />Ptoperty Ideati5cacion #(PIN #� 1 � ?� �� 3,��'i (� b l7 � 2-- <br /># af A,cr�es �� I 7% ^ <br />c��t z�g _I. -1 � � �( U�t+�z.-�,� <br />Type nf Application <br />❑ Comprcheusive Plan Amendm�t <br />O Rezaning <br />O Major Subdi�ision <br />o Minor Subdivisioa <br />❑ Planncd Unic Dtvetoprnen� (PUD) <br />� PUD Am�ndment <br />D Condi[ional Use P�rmit <br />� VST'1fl11Gt` <br />❑ Codz Appeal <br />C� Devclop Review/Site Plaz� <br />O W�tland Alteradon Prnmit <br />a Wedand Buffc Permit <br />o Ftoodplain Parmit <br />a O�hcr <br />5250 <br />5250/acre; min S25a max S I 500 <br />3254 + $250 dtposit* <br />5200 <br />R�fer co r�zoning Ccra <br />5350 <br />R-�, R-? $%S: N�� �11j12CS $�5� <br />R•I, R-2 $100 0ll others $?�0 <br />S100 <br />5135/ncre; min E125 nlax $750 <br />R-1, R-2 $1;0; nll others 5200 <br />R-1, R-2 52�; all othcrs 5100 <br />5200 <br />'Dtposils sha11 be paid to e.ovet all cos�s ot public notices, ms[trials and staff or consultnnt �ime ��cnc in the revicw, <br />rrsearch at preparation of ma[erials associated with [his application. The applicant shnll he rc:�-ponsible for all rca�onable <br />inct�re� coscs in e�ccess of the initial dcpo�7t amowic. Any portion of the dc�usi� ni�t spzn� or cncumher�d shall bc rcfunded <br />to t!� applican[ within thirty (30) deys sfter considcralion of the application is wmplctccl. <br />pleaie complete the reverse �ide of this appGeation. <br />