Laserfiche WebLink
, <br /> .--77'i.1.7. <br /> CUM i--=' COMMUNITY DEVELOPMENT DEPARTMENT <br /> DEVELOPMENT APPLICATIOqa <br /> jiff,:; 2401 Highway 10, Mounds View MN 5511 <br /> X41.'-Partatoi'Q' 612-717-4020 <br /> 612-784-3462 -FAX <br /> Please Type or Print Information-Complete Both Sides of This Form <br /> • <br /> Applicant Information / <br /> Name of Applicant /"t -#''M C tZ Y/ <br /> ci e_• Telephone t'12--/ <br /> 7(C4- 73 ) <br /> Address _. _. _ Z2oo10 Fax fO!Z 78V-0107 <br /> - - -- -- ----------- - - Po (A,,/ds U ea) /-fn �11Z <br /> • <br /> Interest in Property(check appropriate box) <br /> Owner of ProContract for Deed Owner .. -- -- <br /> C <br /> party .-. _,... - - � tI _ <br /> ❑ - Lessee,Operator,Manager -. _ - .❑ 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 <br /> Address of General Location .-0 0 1LLLIAV V . ) U <br /> III <br /> _Legal Description - �9 <br /> Property Identification#(PiN -----og---3 O--',A2— 4e.3 -o a 0-7 -=-00 o 31 000(.9 f 001 0 <br /> - #of Acres . . • ._ : <br /> Current Zoning - - . 6 —% ?) , „c _ 'ig4.4 <br /> L _ J motif <br /> Type of Application <br /> C Comprehensive Plan Amendment 5250 <br /> ❑ Rezoning 5250/acre; min$250 max 51500 <br /> ❑ Major Subdivision $250+5250 deposit* <br /> c Minor Subdivision $200 <br /> ❑ Planned Unit Development(PUD) Refer to rezoning fees <br /> ❑ PUD Amendment $350 <br /> ❑ ..::-.al Use Permit R-1, R-2$75;all others$250 <br /> Variance - R-1, R-2$100 all oth � <br /> 0 one •PPeal $100 <br /> ❑ Develop Review/Site Plan • •$125/acre;min$125 max$750 <br /> ❑ Wetland Alteration Permit R-1,R-2$150;all others$200 <br /> ❑ Wetland Buffer Permit R-I,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 /> to the applicant within thirty(30)days after consideration of the application is completed. <br /> Please complete the reverse side of this application. <br />