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COMMUNITY DEVELOPMENT DEPARTMENT <br /> • DEVELOPMENT APPLICATION <br /> 39 2401 Highway 10, Mounds View MN 55112 <br /> ''Fh``-a.�mtn'"'v 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 DUANE R. PETERSON AND NANCY PETERSOltelephone( 612 ) 444-646$ <br /> Address 28195 MAT)TSON STREET N.E. Fax NONE <br /> ISANTI, MINNESOTA 55040 <br /> Interest in Property(check appropriate box) <br /> xl Owner of Property 0 Contract for Deed Owner <br />• <br /> a 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 3 0 2 5 COUNTY ROAD Y - - <br /> • Legal Description = The West two hundred twenty—five (W.225) feet - <br /> of Lut sevnty—five (75) 3n-nuLLA1boD PARK,Ramsey Co. <br /> Property Identification#(PIN#) 07—30-23—3 3 0031 3 <br /> • <br /> #of Acnes •Approximataiy 1/7 arra <br /> Current Zoning -- --- . 12=1 <br /> Type of Application --- - — <br /> 0 Comprehensive Plan Amendment $250 <br /> 0 Rezoning S250/acre; min S250 max S1500 <br /> 0 Major Subdivision $250+$250 deposit* <br /> It Minor Subdivision $200 <br /> 0 Planned Unit Development(PUD) Refer to rezoning fees <br /> 0 PUD Amendment __ $350 , <br /> 0 Conditional Use Permit R-1, R-2 S75;all others$250 <br /> 0 Variance R-1, R-2 S75;all others$250 <br /> 0 Code Appeal S100 <br /> a Develop Review/Site Plan S 125/acre;min S125 max$750 <br /> 0 Wetland Alteration Permit R-1,R-2 S150;all others$200 <br /> a Wetland Butter Permit R-1,R-2$25;all others 5100 <br /> a Floodplain Permit $200 <br /> 0 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 />