Laserfiche WebLink
Y•i' <br /> 1YJ COMMUNITY DEVELOPMENT DEPARTMENT <br /> DEVELOPMENT APPLICATION <br /> .: 'f 2401 Highway 10, Mounds View MN 55112 <br /> oR�rf-Par tnet�ti�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 A-tu rN'p►U P,26 P 1311 r1 C'S Telephone 9'702- 1.2l • y� �- <br /> Address � ?7 t7 0 Fax q ?Z - 1'21 ,,y.L/2•y <br /> 11-10 <br /> DCL5 7 Sa cl <br /> Interest in Property(check appropriate box) <br /> 0 / Owner of Property a Contract for Deed Owner <br /> eV Lessee,Operator,Manager a Agreement to Purchase <br /> a 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 <br /> Address or General Location <br /> Legal Description 5 cvG /1-7-Fit C i+ %) <br /> Property Identification#(PIN#) <br /> #of Acres <br /> Current Zoning 7U.0 <br /> • <br /> Type of Application <br /> a Comprehensive Plan Amendment $250 <br /> a Rezoning 5250/acre; min$250 max S1500 <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 $3350 <br /> a Conditional Use Permit R-1, R-2 S75;all others$250 <br /> a Variance R-1, R-2 S100 all others$250 <br /> a Code Appeal S100 <br /> a Develop Review/Site Plan 5125/acre;min$125 max$750 <br /> a Wetland Alteration Permit R-1,R-2$150;all others$200 <br /> 0 Wetland Buffer Permit R-1,R-2 S25; all others S100 <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 atter consideration of the application is completed. <br /> Please complete the reverse side of this application. <br />