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�c lir P.01 <br /> Ulnes <br /> i uni era l0:Je e Dag v v w- .. - -- _ <br /> 1 a:7)&1A. ^A 0 tom. j 1 M <br /> SDOM COMMUNITY DEVELOPMENT DEPARTMENT <br /> DEVELOPMENT APPLICATION <br /> 2401 Sghway 10,Mounds view MN 55112 <br /> t,,t,,ran•4004` 612-717-4020 <br /> 612484-3.462-FAX <br /> Plea.Type or hint Int ormstliaa-Compk Eedi Sinn of U Form <br /> Appieant lemmatise <br /> Name of Applicant Pv O Fn 1 r✓NT' TeIgiboao 7 O-35q <br /> Aaatreci PO. 60X 10813 Fax 4/q-'1110 <br /> G8-117-- EAI?LAKEMN <br /> 55110 <br /> beams 1*Property(chock appropriate box) <br /> 0Wtigt of Pzopof Property a Contract for Dema Owner <br /> a Lowe.°perator.Macatw a Agreement to Purdue <br /> 0 Other(explain) <br /> Applicata,low provide srddoaos atio.eat is properly at the timed'app1icstion,and f yo*a e set lbs miner of the <br /> property,you mast provide a litter d pertMrien from Oka weer giving=wait to the(ib.q of this appliaxtiat. The <br /> property sow saw tip tide appiieatias for It to be accepted <br /> Pleprety <br /> • Addren 0�! 2' 15 -L ati tGN LoPt <br /> LeidDescriPtica see ATTbcHE0 <br /> Prcrael►Idectificoicc tt{Plly O 3 0-2 1-o ool, 2/3 <br /> #ofAcres 3. 26 gc CTtrrt L <br /> aorwtz a F3-3 ( E /ivts) <br /> T off Appiitation <br /> C Cce prebraRivc Plan Ameadme t $250 <br /> Q Raoaiig S250/acre; min 1250 mast SI$00 <br /> Maya Sobdivitioo 5250+8250 deposit <br /> to Minor Subdivision 5200 <br /> 17 Pltttsned that Deoelopmart(PUD) Refer to perming fees <br /> • ETD Amanda= 5350 <br /> Conditional Una Permit — R2V 1Si? R-I, R-2 57S;all others$250 <br /> a Variance R-1. R-2 575;all othra$250 <br /> a Colo Appeal $100 rq <br /> XDevelop Review/Sits Plan 5125/ace;rnia S125 max 1150 `rt 3 (.37.5 � C rt 5 <br /> wetland Mu on Penile R-I.R-21150:all arbors 5200 <br /> a Wetland Btn35tr Permit R-1,R 2$25:all whom S100 <br /> a F7oodplaia Perm SI00 <br /> O Ot1>ir <br /> a <br /> 'Deposits shall be paid to cower all costs at-public aotioes.mstaiais and staff or coesultmt time spat in the review, <br /> remora at preparation of materials associated with the applicatiioa The applicant shall be nrsponstbk for all reasooabte <br /> ion antrain�aeese aft initial deposit amount Any portion of the deposit pat spent or encutobced shall be refunded <br /> ili <br /> to a aP2rpit:aot wiit�thirty(30)days seer considaaaaa of the application is completed <br /> Mena e.aaplots the ream aide of this appkabi.te. <br />