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CP <br /> II <br /> 11 OU.I''.1IDO COMMUNITY DEVELOPMENT DEPARTMENT <br /> DEVELOPMENT APPLICATION <br /> N :'ter rf <br /> :i:::>;,v. 2401 Highway 10, Mounds View MN 55112 <br /> dill.''Par=ne+si ' 612-717-4020 <br /> 612-784-3462 -FAX <br /> Please Type or Print Information-Complete Both Sides of This Form <br /> Applicant Information = ,/� <br /> Name of Applicant i i9,/2'... �`/� �� ,a3 .�?eF <br /> , <br /> �� Telephone j <br /> Address 2/ ( /d/U e ' Z ' <br /> Fax <br /> /7`a - 5Vi �...L." <br /> (55// <br /> Interest in Property(check appropriate box) <br /> tt Owner of Property 0 Contract for Deed Owner <br /> ❑ Lessee,Operator,Manager 0 Agreement to Purchase <br /> ❑ Other(explain) <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 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 �,/.�� W647(...1 <br /> Address or General Location 4/UGC Zpa/lojiiie .ect: 7,. -,.//2"ee-e 2,5- <br /> Legal Description 8-./33 AT er- T�/,s` S //.� /`.r o�TfP..- LW,'a P-SC('t 7`14( 36) . <br /> Z <br /> Property Identification#(PIN#) 1 - 6(i 3o .3 i Li co L-j .S 3 <br /> #of Acres 1 -j/ 7 ci 6 5'P C . 11 <br /> Current Zoning 7y`�, — / <br /> Type of Application <br /> ❑ Comprehensive Plan Amendment $250 <br /> ❑ Rezoning $250/acre; min$250 max$1500 <br /> ❑ Major Subdivision $250+$250 deposit* <br /> ❑ Minor Subdivision $200 <br /> ❑ Planned Unit Development(PUD) Refer to rezoning fees <br /> O PUD Amendment $350 ... <br /> Conditional Use Permit R-1, R-3/$75;ail others$250 <br /> ❑ Variance R-1, R-2'l1O0 all others$250 <br /> O Code Appeal $100 <br /> ❑ Develop Review/Site Plan $125/acre;min$125 max$750 <br /> ❑ Wetland Alteration Permit R-1,R-2$150;all others$200 <br /> ❑ Wetland Buffer Permit R-1,R-2$25; all others$100 <br /> o Floodplain Permit $200 <br /> ❑ Other <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 the reverse side of this application. <br />