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741 <br /> ©UMW: CONMUNITY DEVELOPMENT DEPARTMENT <br /> DEVELOPMENT APPLICATION <br /> Z401 Highway 10, Mounds View MN 55112 <br /> •r.m.44` 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 Adolfson & Peterson Construction Telephone (612) 544-1561 <br /> Address 6701 West 23rd Street Fax (612) 525-2333 <br /> Minneapolis Minnesota 55426 <br /> Interest in Property(check appropriate.box) • <br /> ❑ Owner of Property __ a ': Contract for Deed Owner- • <br /> ❑ Lessee,Operator,Manager = ❑ Agreement to Purchase <br /> Other(explain) Design/Build Contractor for Expansions and Renovations <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 2400 County Road J, Mounds View <br /> Legal Description . -- N 1/2, NW 1/4 of Section 5, T30 R23 <br /> Property Identification#(PIN#) 05302322005 <br /> #of Acres - 23.933 Current Zoning Planned Unit Development . <br /> Type of Application <br /> • ❑ Comprehensive PIan Amendment $250 • <br /> a Rezoning $250/acre; min$250 max$1500 <br /> ❑ Major Subdivision $250+$250 deposit* <br /> ❑ Minor Subdivision S200 <br /> ❑ Planned Unit Development(PUD) • Refer to rezoning fees <br /> ❑ PUD Amendment $350 • <br /> ❑ Conditional Use Permit R-I, R-2$75;all others$250 <br /> ❑ Variance — R-1, R-2 S100 all others S250 <br /> Code Appy $100 <br /> 4 Develop Review/Site Plan $125/acre;min$125 max$750 <br /> Wetland Alteration Permit R-1,R-2$150;ail others$200 <br /> ❑ Wetland Buffer Permit • - - __ . R-1,R-2$25;all others$100 <br /> ❑ Floodplain Permit $200 <br /> ❑ Other <br /> shall be paid to cover all costs of public notices,materials and staff or consultant time spent in the review, <br /> • *Deposits <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 retimded <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 />