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'Cllr <br /> ''° Jli DI' COMMUNITY DEVELOPMENT DEPARTMENT <br /> DEVELOPMENT APPLICATION <br /> `''�''n' 2401 Highway 10, Mounds View MN 55112 <br /> • .,8�=,-Partner°*ie' 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 Vanman Companies Architects and Bids Inc.Telephone 612-541-9552 <br /> Address 9211 Plymouth Avenue Fax 612-541-9857 <br /> • Golden Valley, MN 55427 • <br /> Interest in Property(check appropriate box) <br /> O Owner of Property ❑ Contract for Deed Owner - <br /> ❑ Lessee,Operator,Manager ❑ Agreement to Purchase <br /> Other(explain) Architect/General Contractor <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 Corner of Round Lake Road and County Road I <br /> Legal Description See attached '7 eeg 7 L0').%5 (i <br /> Property Identification#(PIN#) C%�3 C d"3 -a-t=1.0 O <br /> #of Acres 6.3527 <br /> Current Zoning R1 V <br /> Type of Application <br /> ❑ Comprehensive Plan Amendment $250 <br /> ❑ Rezoning $250/acre; min$250 max$1500 <br /> ❑ Major Subdivision $250+$250 deposit* V <br /> ❑ Minor Subdivision $200 <br /> ❑ Planned Unit Development(PUD) Refer to rezoning fees <br /> ❑ PUD Amendment $350 <br /> 44 Conditional Use Permit R-1, R-2$75;all others$250 <br /> O Variance 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 . V R-1,R-2$25;all others$100 <br /> O Floodplain Permit $200 - $125 x 3.5 acres = <br /> 0 Other FEE CALCULATION:' $437 <br /> C.U.P 75 <br /> Total: <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 ager consideration of the application is completed. <br /> Please complete the reverse side of this application. <br />