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, <br /> 1111 algitigin COMMUNITY DEVELOPMENT DEPARTMENT <br /> DEVELOPMENT APPLICATION• <br /> 2401 Highway 10, Mounds View MN 55112 <br /> S <br /> '?'4.11-P�.c�et''" 612-717-40`;0 <br /> • 612-784-3462 -FAX <br /> Please Type or Print Information-Complete Both Sides of This Form <br /> ==ationJ C /�Li_/ Gj ,T cj i /b Telephone 1-- 12.— 5—q" Y47 <br /> L. <br /> Address "7 Sn. / '2,c 5'4 S 1e. Fax I- en. - 6 SY - `--('34 7 <br /> W fr v�-(t, , Af n1 - . 5-57ga <br /> Interest in Property(check appropriate box) -- - <br /> ❑ Owner of Property ❑ Contract for Deed Owner <br /> I< 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 /> • <br /> Property Description/Proposal <br /> Address or General Location /t'trl/it Ail c U t.e t✓ Cd uAke. c 1.°fir i.hc} c en f1- III <br /> _ Legal Description AS3 S'Ari'$5 Al i cj 'IC <br /> Property Identification#(PIN#) 07 ;-..34 - -3-l I -CO-7g <br /> #of Acres <br /> Current Zoning /3— I <br /> Type of Application - <br /> ❑ Comprehensive Plan Amendment $250 <br /> C Rezoning 5250/acre, min$250 max$1500 <br /> ❑ Major Subdivision $250+$20 deposit* <br /> O Minor Subdivision $200 <br /> ❑ Planned Unit Development(PUD) Refer to rezoning fees <br /> ❑ PUD Amendment $350 - <br /> Conditional Use Permit R-1, R-2$75;all others$250 <br /> ❑ Variance R-1, R-2$75;all others$250 <br /> ❑ Code Appeal $100 • <br /> ❑ Develop Review/Site Plan. $125/acre;min$125 max$750 <br /> ❑ Wetland Alteration Permit • R-1,R-2$150;all others$200 <br /> e Wetland Buffer Permit R-1,R-2$25;all others$100 <br /> Floodplain Permit $200 <br /> O Other <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 />