Laserfiche WebLink
trgy <br /> - COMMUNITY DEVELOPMENT DEPARTMENT <br /> • DEVELOPMENT APPLICATION <br /> 2401 Highway 10, Mounds View MN 55112 <br /> Part e[sti`" 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 116,01/4)1L7:-L L. 1*LL Telephone 7 74:7 3S ) <br /> Address lct(p4-LJA-y 1Z) Fax )7,-/ t 1 C'7 <br /> Pko 4.14.10$ k LZJ ly ,SS 1 I <br /> Incest in Property(check appropriate box) <br /> Owner of Property 0 Contract for Deed Owner <br /> O Lessee,Operator,Manager 0 Agreement to Purchase <br /> o 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 'L-)-.00 N1L-a t o /1 x ,04.. caututkl M,11 SSA tZ <br /> Legal Description <br /> Property Identification#(PIN#) <br /> #of Acres <br /> Current Zoning <br /> Type of Application <br /> O Comprehensive Plan Amendment $250 <br /> o Rezoning $250/acre; min$250 max$1500 <br /> 0 Major Subdivision $250+$250 deposit* <br /> O Minor Subdivision $200 <br /> O Planned Unit Development(PUD) Refer to rezoning fees <br /> O PUD Amendment $350 <br /> ❑ Conditional Use Permit R-1, R-2$75;all others$250 <br /> O Variance R-1, R-2$100 all others$250 <br /> O Code Appeal $100 <br /> c Develop Review/Site Plan $125/acre;min$125 max$750 <br /> ❑ Wetland Alteration Permit R-1,R-2$150;all others$200 . <br /> 0 Wetland Buffer Permit R-1,R-2$25;all others$100 <br /> O FIoodplain Permit $200 <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 />