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• r'v ri COI' � d�IFY I ii•'li" <br /> if1 fi E; r CO1VLMITNITY DEVELOPMENT DEPARTMENT <br /> • l• DEVELOPMENT APPLICATION <br /> v, 2401 Highway 10, Mounds View MN 55112 <br /> 6I'°',-PP.ra,40* 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 i�enn e.77-) )C O rn i2 Telephone 7�-off JOS <br /> Address ,, . <br /> //S4 f'SNoaptoc.� Dr. Fax <br /> %'Dur.-1S V& S S//L <br /> • <br /> Interest in Property(check appropriate box) • <br /> i . Owner of Property <br /> ❑ Contact for Deed Owner <br /> ❑ Lessee,Operator,Manager <br /> ❑ Agreement to Purchase <br /> O Other(explain) <br /> • <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. Theag <br /> roperty owner must sign this application for it to be accepted. <br /> • <br /> ViTroa Description/Proposal <br /> . <br /> p rty nphon/ProQosal <br /> Address or General Location 7i-CO 7i-COMNO LL GUDD/o or mounds U pj 5 i i - <br /> Legal Description . . Kiva 1 1•-,,v 0/.30 P4 p K, I�A inC Y Lo 7- .4.7. <br /> Property Identification#(PIN#) O 7 - 3 0 - Z 3 -• 3 / -("<) 4 - R <br /> #of Acres f 4c#FE-i- <br /> Current Zoning frf, /:5/7) <br /> Present Use - Type of Application <br /> ❑ Undeveloped/Vacant 0 Comprehensive Plan Amendment $200 <br /> ® Single Family Dwelling ❑ Rezoning $200/ac;min$200 max$1000 <br /> ❑ Duplex/Two Family Dwelling 0 Major Subdivision $250+$250 deposit* <br /> ❑ Multi-family Dwellings 0 Minor Subdivision $150 <br /> ❑ Business/Commercial Establishment ❑ PIanned Unit Development(PUD) $350 <br /> ❑ Industrial Establishment ❑ PUD Amendment 50 <br /> ❑ Other(explain) Conditional Use Permit R-1, • `. others$200 <br /> ❑ Variance', R-1,R-2$75;all others$200 <br /> ❑ Code Appeal . $75 <br /> ❑ Develop Review/Site Plan $100/ac;min$100 max$500 <br /> ❑ Wetland Alteration Permit $50+deposit* <br /> ❑ Wetland Buffer Permit ? <br /> ❑ Floodplain Permit $200 <br /> • a Other <br /> � <br /> O r <br /> l <br /> �3,� 5 <br /> b *see Municipal Code for explanation of deposits <br /> d <br /> Please complete the reverse side of this application. <br /> l <br />