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7X1 <br /> �'' .D' coivaruNrry DEVELOPMENT DEPARTMENT <br /> DEVELOPMENT APPLICATION <br /> Ill ...1: 9' <br /> i ':,N! 2401 Highway 10, Mounds View MN 55112 <br /> ••A <br /> o'I's-Parme4s11 612-717-4020 <br /> 612-784-3462 -FAX <br /> Please Type or Print Information-Complete Both Sides of This Form <br /> Applicant Information ) <br /> Name of Applicant 4 Mos /4 yyl 1H) Telephone 716 .3 i 3 y <br /> Address Tr 58 ,/.,gw9, ,g 62 aQ Fax <br /> ,1,l ,i, "s l/1•Q .) J"9 Ili 5 r1/ Z.i <br /> Interest in Property(check appropriate box) <br /> X Owner of Property 0 Contract for Deed Owner <br /> 0 Lessee,Operator,Manager 0 Agreement to Purchase <br /> 0 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 7SSg , L xv .8 E? <br /> • Legal Description -7-.'V ear,s 1~ KG 2 OA <3 `'.-431k 1 - - <br /> Property Identification#(PIN#) (p—36-Ai -G/-V-o065 <br /> #of Acres <br /> Current Zoning . .. 4.,C,r•„/ <br /> Type of Application - -. .. __-__ .. <br /> 0 Comprehensive Plan Amendment 5250 <br /> O Rezoning 5250/acre; min$250 max$1500 <br /> O Major Subdivision $250+$250 deposit* <br /> O Minor Subdivision 5200 <br /> O Planned Unit Development(PUD) Refer to rezoning fees <br /> O PUD Amendment $350 <br /> • <br /> �- Conditional Use Permit R-1, : others$250 <br /> 1}D Variance R-I, R- 141-0 others$250 <br /> O Code Appy $100 <br /> O Develop Review/Site PIan $125/acre;min$125 max$750 • <br /> O Wetland Alteration Permit R-1,R-2$150;all others$200 <br /> O Wetland Buffer Permit R-1,R-2$25;all others$100 <br /> O Floodplain Permit $200 <br /> O 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 /> • <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 alter consideration of the application is completed. <br /> Please complete the reverse side of this application. � � <br /> -i -- • <br />