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1 i <br /> `�'ED COMMTJNITy DEVELOPMENT DEPA.R'TNIENT <br /> �, ;n, <br /> • <br /> DEVELOPMENT APPLICATION <br /> • I "'' 2401 Highway 10, Mounds View MN 55112 <br /> o��=f-P"t"e.M' 612-717-4020 <br /> 612-784-3462 -FAX <br /> (Please Type or Print Information-Complete Both Sides of This Form <br /> Applicant Information 1 ' f`-�� <br /> Name of Applicant C Q'+ ► 4. me c C.AAA_ <br /> Telephone 1"t D— 9 <br /> Address c ck .. .;.n-.0 a o. C-'f<_-`42---' Fax <br /> ((`f\r,‘A,,..cl.s \1tci, N.),()_ -- <br /> 5.. 11 „2_..... <br /> Interest in Property(check appropriate box <br /> X. Owner of Property a Contract for Deed Owner <br /> C Lessee,Operator,Manager _ a o Purchase <br /> a Other(explain) .. _Agreement t <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 Ost woir� _ y. .. <br /> -T M �r}.. 1NPP 1 <br /> •-- • <br /> Y ,rJy <br /> F, 3Lglestpon <br /> - <br /> Property Identification#(PIN#)#ofAcres <br /> Current Zoning - _ <br /> Type of Application '.. <br /> a Comprehensive Plan Amendment 5250 . <br /> C Rezoning 5250/act,e <br /> o min 5250 max S 1500 <br /> Major Subdivision • <br /> 5250+$250 deposit* <br /> a Minor Subdivision ,.i <br /> • Planned Unit Development(PUD) Refer to rezoning fees <br /> a PUD Amendment M50 _ <br /> Conditional Use Permit R-I, R--t11 others$250 <br /> Q Variance R-1, R-2 S re all others$250 . <br /> Code Appeal 5100 <br /> a Develop Review/Site Plan 5125/acre;min$125 max 5750 <br /> 0 Wetland Alteration Permit <br /> 0 Wetland Buffer Permit R-1,R-2 5150;all others 5200 <br /> • <br /> • R-I,R-2 525;all others S100 <br /> a Floodplain Permit $200 <br /> a 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 /> '.S F b7(.2(.e <br />