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C.TY Cf <br /> [ flcL COMVIIINTTY DEVELOPMENT DEPARTMENT <br /> DEVELOPMENT APPLICATION • <br /> € `, 2401 Highway 10, Mounds View MN 55112 <br /> °"S.P2,0,e4 0 612-784-3055 <br /> 612-784-3462 -FAX <br /> Please Type or Print Information-Complete Both Sides of This Form <br /> • <br /> Applicant Information • , } <br /> Name of Applicant 1.L•11 I 1✓1N /1-14' jM T-14 L • ' Telephone 1-( 3--.S-5[8 <br /> Address 4 14 Lo Lk- 4(l'Hot�r . Fax 14e 3 5—Co 4/ 2--- <br /> 4j <br /> 5\ 2 t1 ► W w , P2 t+ <br /> ss126, <br /> Interest in Property(check appropriate box) <br /> a Owner of Property <br /> X Contract for Deed Owner <br /> a Lessee,Operator,Manager <br /> a Agreement to Purchase <br /> a 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 /> Property Gene ption/Proposal �LO 10 P w ' 0 II-4)6e. <br /> u r R40-4-0- <br /> Address or General Location Knt-t `� L (< <br /> Legal Description -e-• PI L - I/Lwc-- <br /> • Property Identificationi0(PIN 4) <br /> #of Acres I Z • 9 0 r <br /> Carrera Zoning 13-Z ( 12V 0 Peo'Pcne <br /> Present Use Type of Application <br /> C Undeveloped/Vacant a Comprehensive Plan Amendment $200 <br /> a Single Family Dwelling c Rezoning "1 a • ••'. $200 max 31000 <br /> 0 Duplex/Two Family Dwelling % Major Subdivision 5250 - II .r .-- <br /> i7Multi-Tinily Dwellings a Minor Subdivision <br /> a Business/Commercial Establishment = Planned Unit Development(PUD) $350 <br /> a Industrial Establishment a PUD Amendment 5150 <br /> a Other(crpiain) a Conditional Use Permit R-1,R-2$75;ail others$200 <br /> a Variance R-1,R-2$75;all others 5200 <br /> c Code Appeal S75 <br /> X. Develop Review/Site Plan 5100/ac;min 5100 $500 ` <br /> a Wetland Alteration Permit S50+deposit* <br /> Wetland Buffer Permit ? <br /> c Floodplain Permit $200 <br /> a Other • <br /> =see Municipal Code for explanation of deposits <br /> Please complete the reverse side of this application. <br />