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trn- <br /> COMMUNITY DEVELOPMENT DEPARTMENT <br /> DEVELOPMENT APPLICATION ' <br /> 2401 Highway 10, Mounds View MN 5511. <br /> -p.,Menti'e' 612-717-4020 <br /> 612-784-3462 -FAX <br /> Please Type or Print Information-Complete Both Sides of This Form <br /> Applicant Information pp <br /> Name of Applicant (Q r,a_ro. o,a�n,,,;j ge.t'Ct-rn Telephone (, — 37 4. <br /> Address _ __.._...__._..__ ..01-1 ?5— met-04304 { - .._ .__ . --- Fax — <br /> Y'n 0ld:'^.4 S Vi etu Y)'1 <br /> Interest in Property(check appropriate box) <br /> a- Owner of Property,:- �� -tom_ rj , = Q •: -Contract for Deed Owner <br /> ",s-pati _ ::1-_,Z - <br /> z-. -.r• at-_ <br /> o Lessee,Operator,Manager f ti Agreement to Purchase s. <br /> o 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 o'Z 1 MF5 rvivaA? <br /> Legal Description :. .� _ _ • <br /> P ty Identificati #{Pnv#j `a . c .30_, .4-3 da _ <br /> #of Acres <br /> Current Zoning f .i <br /> Type of Application . - <br /> ___ a Comprehensive Plan Amendment 7.- - .•• $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) •_:, - ; ;_ Refer to rezoning fees <br /> a PUD Amendment $350 <br /> Conditional Use Permit . R-1, • .1 others 5250 • - <br /> a Variance R-1, R- 100 all others$250 <br /> Code Appeal .._.-: : :.- $100 <br /> a Develop Review/Site Plan - $125/acre;min$125 max$750 <br /> a ;Wetland Alteration Permit - -_,; _ .R-1,R-2$150;all others$200 _ <br /> a :Wetland Buffer Permit "; . : ... .___. �..R-1,R-2$25;all others$100 <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, II/ <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 after consideration of the application is completed. <br /> Please complete the reverse side of this application. <br />