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COMMUNITY DEVELOPMENT DEPARTMENT <br /> -s DEVELOPMENT APPLICATION <br /> • <br /> " 2401 Highway 10, Mounds View MN 5511 <br /> 0 <br /> _ParMt"�,e' 612-717-402 <br /> 612-784-3462 -FAX <br /> Please Type or Print Information-Complete Both Sides of This Form <br /> Applicant Information f^ O <br /> Name of Applicant to Yrta.ro.-6-(1.x,",r,m De.\'Cl,m Telephone <0 <br /> Address. al SS ?rAes•Jood f . -_._Fax .- <br /> Interest in Property(check appropriate box) <br /> da- Owner of Property:-- -- '7..'f7 t -J-.rr•',-a't Q v...-"F Contract for Deed Owner , >N <br /> 0 Lessee,Operator,Manager , ra tI Agreement to Purchase <br /> a 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 oZ I �� - (4't?c). � <br /> Legal Description <br /> PropertyIdentification#<Pnv t-j s- "n.3 y-3 <br /> . . . i <br /> #of Acres _� :,� . vf� �-rr •:r •• J <br /> Goriest Zoning — �i; -, _ � .w:�� _... _ . _ ,. -. •- ,. . <br /> Type of Application <br /> - a Comprehensive Plan Amendment $250 _ _:. :_ _ <br /> a Rezoning $250/acre; min$250 max$1500 <br /> a Major Subdivision - . _ - - •_ $250+$250 deposit* <br /> a Minor Subdivision $200 <br /> a Planned Unit Development(PUD) w __ . Refer to rezoning fees <br /> a PUD Amendment $350 _ <br /> Conditional Use Permit. _ - R-1, - t others$250 . •. _ <br /> a - Variance .. ___R-1, R- 100 all others$250 <br /> - <br /> a -Code Appeal. 5100 <br /> a Develop Review/Site Plan . SI 25/acre;min$125 max$750 <br /> a )Wetland Alteration Permit - - R-LR-2$150;all others$200 <br /> a - :_Wetland Buffer Permit _ R-I,R-2$25;all others$100 <br /> a _. Floodplain Permit $200 - <br /> a Other _ -- <br /> • <br /> *Deposits shall be paid to cover all costs of public notices,materials and staff or consultant time spent in the review, <br /> 411 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 />