Laserfiche WebLink
WY OF <br /> U1111©lJii3CO DEVELOPMENT DEPARTMENT <br /> • -„z DEVELOPMENT APPLICATION <br /> "` ,,,, 2401 Highway 10, Mounds View MN 55112 <br /> ."'-Purat,0 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 ' <br /> �� <br /> PP r,I^ '*'''Q el ,L .%'/,•11 Ina' Telephone 7 71—7(GC, <br /> Address 773(1 <br /> .4.....r 4')" rt.1 Q^..'0 Fax <br /> Fax <br /> Interest in Property(check appropriate box) <br /> K Owner of Property <br /> ❑ Contract for Deed Owner. • <br /> ❑ Lessee,Operator,Manager <br /> O Agreement 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 /> 410Fro <br /> perty Description/Proposal <br /> Address or General Location 7 73 C) ��,- ,,i• -,'1 � �r <br /> / <br /> Legal Desmiption .4Q-- O 51 o`,r(e 9 (l r e e,,);Q (k Qovi Qs <br /> Property Identification#(PIN#) 6 5- 3n- 3- -33 - MM <br /> #of Acres VJ��I <br /> Current Zoning <br /> Present Use Type of Application <br /> ❑ Undeveloped/Vacant ❑ Comprehensive Plan Amendment $200 <br /> X Single Family Dwelling ❑ Rezoning $200/ac;min$200 max$1000 <br /> ❑ Duplex/Two Family Dwelling ❑ Major Subdivision $250+$250 deposit* <br /> ❑ Multi-family Dwellings ❑ Minor Subdivision $150 <br /> ❑ Business/Commercial Establishment ❑ Planned Unit Development(PUD) $350 <br /> ❑ Industrial Establishment ❑ PUD Amendment 5150 <br /> ❑ Other(explain) ❑ Conditional Use Permit R-1,R-2$75;all others$200 <br /> Variance R-1>R-2$75;all others S200 <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 /> III ❑ Other <br /> *see Municipal Code for explanation of deposits <br /> Please complete the reverse side of this application. <br />