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'll''"rr COMMUNITY DEVELOPMENT DEPARTMENT <br /> DEVELOPMENT APPLICATION <br /> • jig Kf 2401 Highway 10, Mounds View MN 55112 <br /> yin's'-parmer01.. 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 M l4 ' Telephone 33a- <br /> Address ' 'a 11 • 1 .i -. e.:„.._, ___ ____ 3 _A3i ') <br /> �' Fez <br /> -----Y— -= eA4 /VA _461 ice. . �._. _ - .._ <br /> Interest in Property(check appropriate box) <br /> •- Owner of Properly -1` - 1< `r-_ ❑ „,;Contract for Deed Ownar'w." _ =i . <br /> ❑ ` Lessee,Operator,Manage' - `r ❑ Purchase` Agreement to ..7 <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 forit to be accepted." <br /> Property Description/Proposal - x - ' - r <br /> Address or General Location .7.'4-S!I l.. .0►sk Ne N p is 'r 4,etulth4F4. <br /> Legal Description > _. _ --- ? ._ ._ ._ .. <br /> Property Identification#(PIN ": , `- ;""`rte '', '• '„,,p.4..--;_s- <br /> �' " <br /> Current Zoning : � 'S/� <br /> ' CQe ti "" <br /> k -..,„,...,...s.--7, <br /> Type of Application <br /> ❑ Comprehensive Plan Amendment $250 <br /> ❑ Rezoning $250/acre; rain$7.50 max SI 500 <br /> ❑ Major Subdivision - $250+$250 deposit* <br /> ❑ Minor Subdivision S00 <br /> ❑ Planned Unit Development(PUD) Refer to rezoning fees <br /> O PUD Amendment $350 • - _. . <br /> ❑ Conditional Use Permit - R-I, R-2$75;all others$250 <br /> `§t( Variance __ R-1, R-2 5100 all others$250 <br /> 0 Code Appeal $100 <br /> • ❑ Develop Review/Site Plan $125/acne;min$125 max$750 <br /> O Wetland Alteration Permit R-1.R-2$150;all others$200 <br /> O Wetland Buffer PermitR-1,R-2$25;all others$100 <br /> O Floodplain Permit —._- S200 <br /> O 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 />