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_ ...� -uCJJ p 2 <br /> i-r <br /> co • <br /> . : :. ILL7,-.E14.:* '' . .:'.* '''' . ' <br /> •• _ ---• <br /> MMUNTTy DEVELOPMENT DEPARTMENT <br /> LL. DEVELOPMENT APPLICATION <br /> '`�''�-h.��„t;,e' 2401 �Shway 10, Mounds View MIV 55112 <br /> • <br /> 612-717-4020 <br /> 6I2-784-3462 -FAX <br /> Please Type or Print Information-Comps Both Sides of This Form <br /> Applicant Iafor,natioa <br /> Name of Applicant ' . <br /> Address. • . . . o9-YDO I6 Telephone /a- `. 7 SlG O <br /> . OVA,' 01 U/ Fax (a/3- 7! 7 / ;,moi. <br /> /y� iii . <br /> • <br /> Interest in Property(check appropriate box) <br /> 0 Owner of Property <br /> aLessee,Operator,Manager a Contract for Deed Owner. <br /> a Other(explain) a <br /> Agreemaeat to Purchase <br /> • Applicants meat provide evidence of interest • <br /> Applicant you must provide a letter of eft in property at the time ofapplication,and ifyou are not thepli owner othe <br /> sign • <br /> app tion for it to be giving consent to the filing of this application. The <br /> accepted, <br /> • !a ! <br /> ... SG /JlQ1G l /fi�v: 57.1-1. <br /> psori L 1. <br /> PAY Identification#-(13/11#t) • <br /> . <br /> • <br /> Current Zoning , S.F. <br /> Type of Application <br /> a Comprehensive Plan Amendment <br /> a Rezoning 5250 <br /> 5250/ant; min 5250 max.S1500 <br /> a Major Subdivision <br /> a Minor Subdivision <br /> S250+ 0 deposit* <br /> 5200 • <br /> a Planned Unit Development(PUD) Refer to rezoning fees • <br /> t3 Conditional Use Permit S350 <br /> Variance R-I, R-2$75;all others SZSO <br /> • <br /> R-I, R-2 5100 all others S250 <br /> CI Code Appy <br /> • a Develop Review/Site Plan 5100 <br /> C Wetland Alteration Permit 5125/acts min S125 max 5750 <br /> R-1,R-2 S ISO;all others 5200 <br /> a Wetland Butler Permit <br /> R-1.R-2 525;all others S 1.00 <br /> a. Floodplain Permit <br /> a Other SZ00 <br /> • •, <br /> view, <br /> . Deposits shall be paid to cover all costs of public nod <br /> nese <br /> *Deposits <br /> or preparation of coverall p materials and mor consultant time <br /> incurred• costs in excess of the minaterials associated <br /> with this appliartion. The spent in the all reasonable <br /> deposit amount Any portion of the applicant no shall t be responsible for r e refunded <br /> to the applicant within thirty(30)days after consideration deposit not spare or encumbered shall be refunded <br /> •duration ofete application is completed. <br /> ^'--- • <br />