Laserfiche WebLink
• <br /> r <br /> 1 <br /> .... <br /> . 1l>>='EZ COMMUNITY DEVELOPMENT DEPARTMENT <br /> DEVELOPMENT APPLICATION <br /> • LEX R� 2401 Highway 10,Mounds View MN 55112 <br /> .e �L..r,7 <br /> 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 f I #110 y k1 `[)Il (�.. Telephone/0,`?set.- ;4177 <br /> Address s-a zif frt`eitz taf ., 6 E - - <br /> { Fax <br /> -. .� /ulce‘u s riee,e:f 41/1/. 5 )f 2 <br /> • <br /> Interest in Property(check appropriate box) <br /> yX Owner of Property o Contract for Deed Owner <br /> ❑ Lessee,Operator,Manager o Agreement to Purchase <br /> ❑ 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 „,.., /�j <br /> Address or General Location ) iii frteerdl io �lj 1l f', #(444 ge*/if/PA.e#/9E i 64 e'er;I- 1 <br /> Legal Description 4 4 Jl / 7T q <br /> Property Identification#(PIN#) VD S SO 3 31 c7O2 l q <br /> #of Acres 4‘//31'for16fe! 17 A dT <br /> Current Zoning ,_ e Satagiclir// <br /> • <br /> StEri tr St) <br /> Type of Application 5250 r WI S Pt t p ?OA <br /> ❑ Comprehensive PIan Amendment <br /> o Rezoning $250/acre, min$250 max$1500 A a n qC 23 . <br /> o - $250+5250 deposit* <br /> ❑ Minor Subdivision $200 <br /> • <br /> o Planned Unit Development(PUD) • Refer to rezoning fees <br /> ❑ PUD Amendment $350 <br /> ❑ Conditional Use Permit R-1, R-2$75;all others$250 <br /> y 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 /> ❑ Wetland Alteration Permit R-1,R-2 5150;all others$200 <br /> ❑ Wetland Buffer Permit R-1,R-2$25;all others$100 <br /> ❑ Floodplain Permit $200 <br /> ❑ 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 /> _.. fu <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 />