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r I I Ar-�-.nom`, <br /> -• COMMIJNITy DEVELOPMENT DEPARTMENT <br /> DEVELOPMENT APPLICATION <br /> n 2401 Highway 10, Mounds View INN 55112 <br /> r y <br /> -p2*t"° 612-784-3055 <br /> 612-784-3462 -FAX <br /> Please Type or Print Information-Complete Both Sides of This Form <br /> Applicant Information 8 til �`'�/ <br /> Name of Applicant �/ U�, 0 <br /> "' A/ L Telephone 7/7- P792 <br /> Address Z S rlC / /,Y /Q Fax <br /> /7ei//7 - v 46, wlit/, 5 5II? <br /> Interest in Property(check appropriate box) - � r' <br /> a Owner of Property 61/h <br /> 0 Contract for Deed Owner. <br /> -f' Lessee, Operator,Manager <br /> a Agreement to Purchase <br /> a 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. The <br /> property owner must sign this application for it to be accepted. <br /> fitoperty Description/Proposal <br /> Address or General Location <br /> Legal Description <br /> • <br /> Property Identification#(PIN#) <br /> of Aces <br /> Current Zoning <br /> Present Use Type of Application <br /> a Undeveloped/Vacant a Comprehensive Plan Amendment 3200 <br /> a Single Family Dwelling a Rezoning 5200/ac;min 3200 max$1000 <br /> a DuniexiTwo Family Dwelling a Major Subdivision $250 y$250 deposit* <br /> a Multi-family Dwellings a Minor Subdivision $150 <br /> / G BusinessiCammerciai Establiciinient a Planned Unit Development(PUD) $350 <br /> -- Industrial Establishment u— PUD Amendment . • $150 <br /> Other(explain) a Conditional Use Pm-mit R-1,R-2 S75;all others$200 <br /> a . Variance • '5;all others 5200 <br /> Code Appeal <br /> a Develop ReviewiSite:r . . :: ac;min$100 max 5500 <br /> a Wetland Alteration Permit S50+deposit* <br /> a Wetland Blur=Permit ? <br /> a Floodplain Permit $200 <br /> • a Other <br /> *see Municipal Code for explanation of deposits <br /> Please complete the reverse side of this application. <br />