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( i . <br /> i <br /> • ''' ill.!��= COMMUNITY DEVELOPMENT DEPARTMENT <br /> DEVELOPMENT APPLICATION <br /> ;[ ç 2401 Highway 10, Mounds View MN 55112 <br /> 'lit, <br /> -Itri-r„tsen`"`Q' 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 i I rn QWCy W h , id 1;75 Telephone 2,77- 24/79 <br /> Address / . <br /> S 2 41 q rL lr % :-ith,e - -- _Fax - <br /> / MM ss - <br /> 1i <br /> Interest in Property(check appropriate box) <br /> X • Owner of Property ❑ Contract for Deed Owner <br /> ❑ Lessee,Operator,Manager a 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 Air <br /> Address or General Location Syq 6tee.ri4i' c lee. /'�'"6V-M� g/14.1W9E;fe,4eser 0; <br /> Legal Description •g/ , 14heek- 5$edKI Ail1 t e Lel-/S,$4 t 4-:1 <br /> Property Identification#(PIN#) ©6 SO3 31 i C 21 g i <br /> #of Acres ;�3 1 /V6i- t�.,,�( ��{ eT <br /> Current Zoning R../ ,` _ r K Q Sok/liw'GSr�l�i <br /> 1 �' �. <br /> S,cc`Th„ g, - <br /> Type of Application i6ll/17SAlt ?11, <br /> ❑ Comprehensive Plan Amendment $250 <br /> ❑ Rezoning $250/acne, min 5250 max$1500 Aale 9e 23 . <br /> ❑ Major Subdivision $250+$250 deposit* <br /> ❑ Minor Subdivision $200 <br /> ❑ Planned Unit Development(PUD) . - Refer to rezoning fees <br /> ❑ PUD Amendment _ $350 <br /> O Conditional Use Permit R-1, R-2$75;all others$250 <br /> VarianceR-1, R-2 5100 all others$250 <br /> ❑ Code Appeal $100 <br /> ❑ Develop Review/Site Plan $I25/acre;min$125 max$750 <br /> O Wetland Alteration Permit R-1,R-2$150;all others$200 <br /> ❑ Wetland Buffer Permit R-1,R-2 S25;all others$100 <br /> ❑ Floodplain Permit $200 <br /> ❑ 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 /> 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 /> ' <br /> Please complete the reverse side of this application. <br />