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• <br /> .c ads.,.. ,- a j,t,r.� <br /> illi r.;�--':�w�; CO <br /> `.., DEVELOPMENT DEPARTMENT <br /> • „,1. DEVELOPMENT APPLICATION <br /> :",'°? 2401 13"ighway 10, Mounds 'View MN 55112 <br /> ')'s`-Parat., 0 612-784-3055 <br /> 612-784-3462 -FAX <br /> Please Type or Print Information-Complete Both Sides of This Form <br /> Applicant Information <br /> Name of Applicant John R. Peterson . " Te.leph�one' ' 755-9793 <br /> Address 9445 E. River Road Fax 755-6207 <br /> Coon Rapids, Mn 55433 <br /> Good Value Homes, Inc. <br /> Interest in Property(check appropriate box) <br /> )- Owner of Property <br /> a Contract for Deed Owner <br /> a Lessee,Operator,Manager . ' <br /> a Agreement to Purchase <br /> a Other(explain) - <br /> Applicants must provide evidence of interestin property at the time of application,and ifyou are not the owner of the <br /> property,you must provide a letter of permission from the owner Diving consent to the filing of this application. The <br /> property owner must sign this application for it to be accepted. <br /> liroperty Description/Proposal <br /> Address or General Location <br /> Legal Description LIDS 17'1 t si 6 WuOrm S QuA7244 <br /> Property Identification#(PIIN#) <br /> 4 of Acts <br /> Current Zoning Q — <br /> Present Use Type of Application <br /> a Undeveloped/Vacant a Comprehensive Plan Amendment 5200 <br /> a Single Family Dwelling a ReZnninv <br /> a Duplex/Two Family Dwelling - a 5200/ac;min£200 max 51000 <br /> Major Subdivision £250+S250 deposit <br /> a Multi-family Dwellings a Minor Subdivision £150 <br /> a Business/Commerciai Establishment a Planned Unit Development(PUD) 5350 <br /> a Industrial Establishment a PUD Amendmentc <br /> a Other(explain) 510 <br /> a Conditional Use Permit R-1,R-2 S75;all others 5200 <br /> C. Variance R-1,R-2 S75;all others 5200 <br /> a • Code Appeal £75 <br /> co Develop ReviewiSite Plan S 100/ac;min 5100 max 5500 <br /> Wetland Alteration Permit £50+deposit* . <br /> a Wetland Buffer Pit 7 <br /> a Fioodplain Permit £200 <br /> 4111 <br /> a Other <br /> 'see Mtmicipal Code for explanation.of deposits <br /> Please complete the reverse side of this application. <br />