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• <br /> CF <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> 4 DEVELOPMENT APPLICATION <br /> '•,,� ;( 't%j 2401 Highway 10, Mounds View MN 55112 <br /> 'r't'a-ParcaeT044. 612-717-4020 <br /> 612-784-3462 - FAX <br /> Please Type or Print Informatlon-Complete Both Sides of This Form <br /> Applicant Information �� � r^ (� <br /> Name of Applicant P I`EAL C4� v �• Telephone 6 tZ• 337. S/t/ci <br /> Address '4O1 No/t(H HtR-R S'iRff, cret{y0Fax 4t2.. 31c. qc--s y <br /> M(0,4tkcdtcr MM 4101 <br /> Atte : MtLO ?IA l ER—Tb <br /> Interest in Property(check appropriate box) <br /> • Owner of Property 0 Contract for Deed Owner <br /> ❑ Lessee,Operator,Manager )( 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 e7 t, <br /> Address or General Location Sou rye t�.4 g r c , Clt ('.c,-rt a) Z : 1"1 pumps. tri cu.) (J R t v C <br /> Legal Description RA¢T ,4 , Int=G t-c rt , LA 41 y <br /> Property Identification#(PIN#) (e s a f Zee is 4 r-ar 7.1. S C ou,t4 o Zak t-e� <br /> #of Acres - es) <br /> Current Zoning <br /> Type of Application <br /> a Comprehensive Plan Amendment $250 <br /> X ReZ,oning $250/acre; mm$250 max$15C0 <br /> ❑ Major Subdivision $250-$250 deposit* <br /> a Minor Subdivision $200 <br /> a Planned Unit Development(PUD) Refer to rezoning fees <br /> a PUD Amendment $350 <br /> Conditional Use Permit R-I, R-2$75;all others$250 <br /> a Variance R-1, R-2$100 all others$250 <br /> a Cock Appeal $100 <br /> ❑ Develop Review/Site Plan $125/acre;mm$125 max$750 <br /> ❑ Wetland Alteration Permit R-1,R-2$150;all others$200 <br /> o Wetland Buffer Permit R-1,11-2$25;all others$100 <br /> a Floodplain Permit $200 <br /> a 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 />