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.01))1H013 - COMMUNITY DEVELOPMENT DEPARTMENT <br /> la— <br /> DEVELOPMENT APPLICATION <br /> er• <br /> ! Nr 2401 Highway 10, Mounds View MN 55112fil) <br /> A471.4-pa►n1ets"ie' 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 btwit. L L . i*LL • Telephone 7 74-`7 3SC <br /> Address 2.26 0 LEtiott-L/A-c) t a Fax )7 Li 151 O—7 <br /> _ .. M�...x.XS V i L'L..)-- - 1,44j SS 1 i 7 <br /> Ingest in Property(check appropriate box)_._-._._.---..-.._ _- -_.— <br /> ta' Owner of Property ❑ Contract for Deed Owner <br /> ❑ _.., Lessee,Operator,Manager ;. -.E...-.- ❑ _ Agreement to Purchase <br /> Other = <br /> ° (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. 0.2Z:_ .-- w4*- <br /> -.V,-.c 6,44,4 , ar.=ret./ez,.....1.,» :m•c. .+. .,44,ps,. - ..a W ?.._..�m. <br /> Property Description/Proposal= 4 :i 7. ,4; <br /> Address or General Location '22_c�p . :; <br /> �L� 1'•tJ-:�"M.t�t,JbScxtA1 Mnl cgl cZ _. <br /> . . Legal Description : ,: . ._.__ . .. . . .. , �s <br /> Property Identification#.(PIN#f) ..- . . <br /> Current Zoning - _.._...__ ....- __-- ._..._. __---- _-- - ____._._ <br /> Type of Application _r-__..-.-- - -r_.__---------- --- _...---- __...._.____ <br /> ❑ Comprehensive Plan Amendment $250 <br /> ❑ - Rezoning - 5250/acre; min$250 max 51500 <br /> ❑ Major Subdivision - - $250+$250 deposit* <br /> ❑ ,nor Subvision 5200 -_yM __ <br /> ❑ Planned Unit Development(PUD) Refer to rezoning fees <br /> ❑ PUD Amendment 5350 <br /> ❑ Conditional Use Permit R-1, R-2$75;all others$250 <br /> o Variance - - R-1, R-2$100 all others$250 • <br /> ❑ Code Appeal -- <br /> 5100 • <br /> V( Develop Review/Site PIan $125/acre;min$125 max$750 <br /> o Wetland Alteration Permit R-1,R-2$150;all others$200 . <br /> ❑ Wetland Buffer Permit R-1,R-2$25;all others$100 <br /> 0 Floodplain Permit $200 <br /> ❑ Other <br /> *Deposits shall be paid to cover all costs of public notices,materials and staff or consultant time spent in the review, It <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 after consideration of the application is completed. <br /> Please complete the reverse side of this application. <br />