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w <br /> JI,l nS COMMUNITY DEVELOPMENT DEPARTMENT <br /> DEVELOPMENT APPLICATION <br /> '`'�' 2401 Highway 10, Mounds View MN 55112 <br /> n'P`t'tt-Partnetsh�Q' 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 C�/�Aa (eS G ei,,,(Shit/e &h U%tZTelephone 7 �4/6,417) 7 <br /> Address 75'?' /� 1j qpj.� LA-, Rd / Fax <br /> frio 1 d5 V'e ti , -j A ii, <br /> Interest in Property(check appropriate box) <br /> Da-- Owner of Property 0 Contract for Deed Owner <br /> o Lessee,Operator,Manager 0 Agreement to Purchase <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 Description/Proposal Q g • ti <br /> Address or General Location 758/ SppI M M 1 ce,nL /i o GY' <br /> Legal Description g p (`i7�� 23�-�� -O 0O� <br /> Property Identification#(PIN#) 07-7,30`--z 3.2 a —O 0 O 6-"f <br /> #of Acres4-f <br /> vt)e- <br /> Current Zoning <br /> Type of Application ,.: <br /> Q Comprehensive Plan Amendment $250 • <br /> 0 Rezoning $250/acre; min$250 max$1500 <br /> a ` Major Subdivision $250+$250 deposit* <br /> W� Minor Subdivision $200 <br /> o Planned Unit Development(PUD) Refer to rezoning fees <br /> o PUD Amendment $350 <br /> 0 Conditional Use Permit R-1, R-2$75;all others$250 <br /> 0 Variance R-1, R-2$100 all others$250 <br /> 0 Code Appeal . $100 <br /> 0 Develop Review/Site Plan $125/acre;min$125 max$750 <br /> 0 Wetland Alteration Permit R-1,R-2$I50;all others$200 <br /> 0 Wetland Buffer Permit R-1,R-2$25;all others$100 <br /> 0 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 />