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I1 aiiii1C41. COMMUNITY DEVELOPMENT DEPARTMEN <br /> DEVELOPMENT APPLICATION <br /> :12771.Y(/ 2401 Highway 10, Mounds View MN 55112 <br /> 'Pt=•hrtne<s"'e' 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 Leonard Medrud & Arthur Jordan Telephone 612-784-4275 <br /> Address 2085 Oakwood Drive Fax <br /> • Mounds View, MN 33112 - - - - - <br /> Interest in Property(check appropriate box) <br /> ❑x Owner of Property ❑ Contract for Deed Owner <br /> ❑ Lessee,Operator,Manager : -- t7 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 20 8 5 Oakwood Dr. , Mounds View, MN 55112 <br /> - r tl <br /> Legal Description Lot 29,ThlOck 1`,.Pinewood Terrace. —, <br /> Property Identification#-(PIN#) --'-'3 8 3 2 0 5 =&` 83206 - <br /> #of Acres _--- :2 9 ._ V <br /> Current Zoning Residential <br /> Type of Application <br /> O Comprehensive Plan Amendment S250 <br /> • Rezoning $250/acre; min$250 max S1500 <br /> O Major Subdivision S250+$250 deposit* <br /> O Minor Subdivision $200 <br /> O Planned Unit Development(PUD) Refer to rezoning fees <br /> O PUD Amendment S350 <br /> iSt Conditional Use Permit �R-1, R-2$73)all others$250 <br /> ❑ Variance R-1, R-2$100 all others$250 <br /> ❑ Code Appeal $100 <br /> ❑ Develop Review/Site Plan $125/acre;min$125 max$750 <br /> O Wetland Alteration Permit R-1,R-2 S150;all others$200 <br /> O Wetland Buffer Permit .. R-1,R-2$25;all others$100 <br /> ❑ " Floodplain Permit S200 <br /> ❑ Other <br /> • <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 />