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1:777 7 i <br /> [Tfl ?xcanrA COMMUNITY DEVELOPMENT DEPARTMENT <br /> DEVELOPMENT APPLICATION <br /> 2401 Highway 10, Mounds View MN 55112 <br /> -P„t„ers* ' 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 Leonard Medrud & Arthur Jordan Telephone 612-784-4275 <br /> Address 2085 Oakwood Drive Fax <br /> • Mounds View, MN 55112 <br /> Interest in Property(check appropriate box) <br /> ❑x Owner of Property ❑ Contract for Deed Owner <br /> 0 <br /> Lessee,Operator,Manager ❑ ' `'FAgreement to Purchase <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 for it to be accepted. <br /> Property Description/Proposal „ <br /> Address or General Location 2 085 Oakwood Dr. , Mounds View, MN 5 5112" <br /> Legal Description Lot 29, Block 1 , Pinewood Terrace. <br /> Property Identification#(PIN#) --'-3 8 3 2 0 5 & `3 8 3 20 6 S'-3 O c�.3— 'E3o ��_ <br /> • <br /> of Acres �:.._. 29 <br /> Current Zoning Residential <br /> • <br /> Type of Application <br /> ❑ Comprehensive Plan Amendment $250 <br /> o Rezoning $250/acre; min$250 max$1500 <br /> ❑ Major Subdivision $250+$250 deposit* <br /> ❑ Minor Subdivision $200 <br /> ❑ Planned Unit Development(PUD) Refer to rezoning fees <br /> ❑ PUD Amendment $350 <br /> • Conditional Use Permit �R-1, R-2$73)all others$250 <br /> ❑ 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 R-1,R-2$25;all others$100 <br /> ❑' Floodplain Permit $200 <br /> O Other <br /> • <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 alter consideration of the application is completed. <br /> Please complete the reverse side of this application. <br />