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05/14/98 15:40 FAX 812 784 3482 CITY OF XV IM002/005 <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />DEVELOPMENT APPLICATION <br />2401 I-Eghway 10, Mounds View MN 55112 <br />612.717-4024 <br />612-784-3462 - FAX <br />Please Type or Print Information - Complete Both Sides of This Form <br />Applicant Information — <br />Name of Applicant ire, Telephone 4 IZ -3/5-3/52 - <br />Address Fax & I t, <br />Interest In Property (check appropriate box) <br />Owner of property c Contract for Dad Owner <br />C3 Lessee, Operator, Manager C Agreement to Purchase <br />0 other (wwlain) <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 rrom the owner giving consent to the (Ping of this appllcatlom The <br />property owner must sign this application for it to be accepted. <br />Property DescriptionlProposal <br />Address or General Location <br />Legal Description <br />Property Identification #,CPl.1`i #) <br /># of Acres <br />Curreat Zoning <br />BL,ock P&n.-,L. kr>;w Tezgge <br />23 ~ZL~ c oo3 g <br />e). 35 ,Ales. <br />P3 <br />Type of Application <br />❑ <br />Comprehensive Plan Amendment <br />a <br />Rezoning <br />C3 <br />Major Subdivision <br />❑ <br />Mawr Subdivision <br />❑ <br />Planned Unit Development (PUD) <br />❑ <br />PUD Amendment <br />❑ . <br />Conditional Use Permit <br />❑ <br />Variance <br />❑ <br />Code Appeal <br />X <br />Develop Review/Site Plan <br />❑ <br />Wetland Alteration Permit <br />❑ <br />Wetland Suffer Permit <br />❑ <br />Floodplain Permit <br />M <br />other <br />$250 <br />=0/acre; min 5250 max $1500 <br />$250 + S250 deposit* <br />5200 <br />Refer to rezoning fees <br />5350 <br />R-1, R-2 375; all others $25O <br />R-1, R-2 5100 all others $250 <br />SI00 <br />$125/acre•, min S 125 max $750 <br />R -i, R-2 $150; all others $200 <br />R-1. R-2 S25; ail 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 atter consideration of the application is completed <br />Please complete the reverse side of this application. <br />