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•Tt�CIF <br /> 4 <br /> 0'�))24:< <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> DEVELOPMENT APPLICATION <br /> q- <br /> ': ':;,, • 2401 Highway 10, Mounds View MN 55112 <br /> 4`"tf-Pa,toe���`g' 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 ERNE'S7- /VAR. rt/L L ,' E Dr4Nlt-L Se,/ Telephone 7f'i/- 7(i&/e <br /> Die:,- '= `;Fax' <br /> Address _ ,:_. - - :•�• �'(5�`f Y GR EE/Il 1.100 D :° �,t- <br /> Interest in Property(check appropriate box) <br /> Ar Owner of Property 2'`„-::,. ❑ _ Contract for Deed Owner <br /> ❑ Lessee,Operator,Manager , ._ ❑ Agreement to Purchase i <br /> 0 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 Aescription/Proposal <br /> ti Addreps or,general Location,<: ' V 9 y .G R F Ai W�el D D1. <br /> Legal Description <br /> Property Ide ca on#(PIN#) • ei, "3 t) `ag ,.It <br /> _.O O fr ` . :.R ea./ <br /> ._ F. <br /> s <br /> O4jgLSa v jADDItlbt <br /> Current Zoning <br /> ries rvti7"1AL <br /> Type of Application <br /> ❑ Comprehensive Plan Amendment $250 <br /> ❑ Rezoning $250/acre; min 5250 max$1500 <br /> ❑ Major Subdivision $250+$250 deposit* <br /> X Minor Subdivision $200 <br /> ❑ Planned Unit Development(PUD) Refer to rezoning fees <br /> ❑ PUD Amendment $350 <br /> ❑ Conditional Use Permit <br /> R-1, R-2$75;all others$250 <br /> o _, Variance _ <br /> R-1, R-2$100 all others$250 <br /> ❑ -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 /> ❑ Floodplain Permit $200 <br /> 0 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 />