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careCf <br /> DOM <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> DEVELOPMENT APPLICATION <br /> fi2401 Highway 10, Mounds 'View MN 55112 <br /> pr'+tt-Parente:1r <br /> 612-717-4020 <br /> 612-784-3462 -FAX <br /> Please Type or Print Information-Complete Both Sides of This Form <br /> Applicant Information kl""?D <br /> Name of Applicant I\t i, 4ritor Telephone (o!Z <br /> AddressL{O l l bR m 3 urn Ee r cQ t.ri q t,0 Fax <br /> 61Z 3 <br /> iN,ic'4P6_211146 tO <br /> • <br /> Interest in Property(check appropriate box) <br /> a Owner of Property a Contract for Deed Owner <br /> • <br /> C Lessee.Operator,Manager <br /> o Other(explain) Agreement to Purchase <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 <br /> Address or General Location z.670 C0 N ,Aa> I <br /> Legal Description A iz eoi J <br /> Property Identification it(PIN#) 0 73o - Z 3 t ( -- Lf C� <br /> #of Acres 2. <br /> • <br /> Current Zoning L <br /> t• T o ir.:=Si aa. Rt e��� Vekcd.,'r LANci) <br /> Type ofApplication Z� ..� 2— l 1 c < <br /> ❑ Comprehensive Plan Amendment $250 <br /> ❑ <br /> Rezoning $250/acre; min$250 max$1500 <br /> ❑ Major Subdivision $250+$250 deposit* <br /> ID Minor Subdivision $200 <br /> Q Planned Unit Development(POD) Refer to rezoning fees <br /> ❑ PUD Amendment $350 <br /> a Conditional Use Permit R-1. R-2$75;all other:$250 <br /> ❑ Variance R-1, R-2$100 all others$250 <br /> ❑ Code Appy $100 <br /> Develop Review/Site Plan $125/acre;min$125 max$750 <br /> t7 Wetland Alteration Permit R-1,R-2$150;all others$200 <br /> ❑ Wetland Buffer Permit R-I,R-2$25:all others$100 <br /> a Floodplain Permit $200 <br /> ❑ Other . <br /> *Deposits shall be paid to cover all costs of public notices, <br /> 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 />