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• <br /> CONLMUNITY DEVELOPMENT DEPARTMENT <br /> DEVELOPMENT APPLICATION <br /> 2401 Highway 10, Mounds View MN 55112 <br /> •P utf <br /> °$i'_,-ra.meo e 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 Adolfson & Peterson Construction Telephone (612) 544-1561 <br /> Address 6701 West 23rd Street Fax (612) 525-2333 <br /> Minneapolis, Minnesota 55426 <br /> Interest in Property(check appropriate box) <br /> a Owner of Property ❑ - Contract for Deed Owner • <br /> ❑ Lessee,Operator,Manager a - Agreement to Purchase <br /> Other(explain) Desi.n/Build Contractor for Expansions and Renovations <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 2400 County Road J, Mounds View • <br /> Legal Description - N 1./2, NW 1/4 of Section 5, T30, R23 <br /> Property Identification#(PIN#) --05302322005-- - <br /> # <br /> 05302322005 - <br /> #of Acres 23.933 <br /> Current Zoning <br /> . .- Planned Unit Development <br /> Type of Application <br /> • ❑ Comprehensive Plan Amendment $250 <br /> ❑ Rezoning $250/acre; min 5250 max$1500 <br /> ❑ Major Subdivision 5250+$250 deposit* <br /> ❑ Minor Subdivision 5200 <br /> ❑ Planned Unit Development(PUD) • Refer to rezoning fees <br /> ❑ PUD Amendment $350 <br /> ❑ Conditional Use Permit __R-1, R-2 575;all others$250 <br /> ❑ Variance R-1, R-2$100 all others$250 <br /> ❑ Code Appeal $100 <br /> 4 Develop Review/Site Plan $125/acre;min$125 max$750 <br /> • Wetland Alteration Permit R-1,R-2 5150;all others$200 <br /> ❑ - Wetland Buffer Permit - _ _ R-I,R-2 525;all others$100 <br /> ❑ Floodplain Permit 5200 <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 />