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trr <br /> 111 ©LIMO COMMUNITY DEVELOPMENT DEPARTMENT <br /> DEVELOPMENT APPLICATION <br /> • <br /> k2401 Highway 10, Mounds View MN 55112 <br /> eg'trr-Partners 9.' 612-717-4020 <br /> 612-784-3462 -FAX <br /> Please Type or Print Information-Complete Both Sides of This Form <br /> Applicant Information L. <br /> Name of Applicant RO42. /1 J',' C!'e i- / �,,., Telephone 786—6 9A <br /> Address Z6> ' woo-d ,4 pc Fax <br /> • <br /> 04504fJ i), /eIJ <br /> In)rest in Property(check appropriate box) <br /> Owner of Property ❑ Contract for Deed Owner <br /> ❑ Lessee, Operator,Manager ❑ 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 /> Property Description/Proposal <br /> • Address or General Location Sc.2 Z Y WOo dcz//e Vt <br /> Legal Description ,o/tw u a d Pa,•- Z.07z: ?,J <br /> Property Identification#(PIN#) O 2 30).3 3/O o y <br /> #of Acres ®, Py <br /> Current Zoning <br /> Type of Application <br /> ❑ Comprehensive Plan Amendment $250 <br /> ❑ Rezoning $250/acre; min$250 max$1500 <br /> ❑ Major Subdivision $250+$250 deposit* <br /> ❑ Minor Subdivision $200 <br /> ❑ Planned Unit Development(PUD) Refer to rezoning fees <br /> ❑ PUD Amendment $350 <br /> .N Conditional Use Permit • R-I, R-2,$752 all others$250 <br /> 0 Variance R-l; R-2$100 all others$250 <br /> ❑ Code Appeal $100 <br /> 0 Develop Review/Site Plan SI25/acre;min 5125 max$750 <br /> ❑ Wetland Alteration Permit R-1,R-2$150;all others 5200• <br /> 0 Wetland Buffer Permit R-I,R-2$25;all others$100 <br /> ❑ Floodplain Permit $200 <br /> 0 Other <br /> • <br /> • *Deposits shall be paid to cover all costs of public notices,materials and staff or consultant time spent in the review, <br /> research or preparation of materials associated with this application. The applicant shall be responsible for all reasonable <br /> incurred costs in excess of the initial deposit amount. Any portion of the deposit not spent or encumbered shall be refunded <br /> to the applicant within thirty(30)days atter consideration of the application is completed. <br /> Please complete the reverse side of this application. <br />