Laserfiche WebLink
I1 Mil,."DO COMMUNITY DEVELOPMENT DEPARTMENT <br /> • ,� ,_ DEVELOPMENT APPLICATION <br /> l"'� 2401 Highway 10, Mounds View MN 55112 <br /> -P"ent(0%e, 612-717-4020 <br /> 612-784-3462 -FAX <br /> Please Type or Print Information-Complete Both Sides of This Form <br /> Applicant Information L �`-3 `5G� <br /> S <br /> cv <br /> Name of Applicant T M n�� � - Telephone - 4 <br /> P Col A-1�5-(. �tG' <br /> Address -1-:3C,t, t.3r\Ivke 2_0Fax <br /> t‘Ant4.,Nds yew M i <br /> ss- <br /> Interest in Property(check appropriate box) <br /> X Owner of Property o Contract for Deed Owner <br /> ❑ Lessee,Operator,Manager ❑ Agreement to Purchase <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 v\e J Zoad M our d Y k eu.) i Ml( <br /> Legal Description <br /> Property Identification#•(PIN#) <br /> #of Acres <br /> Current Zoning <br /> Type of Application <br /> ❑ Comprehensive Plan Amendment $250 <br /> ❑ Rezoning $250/acre; min$250 max$1500 <br /> ❑ Major Subdivision $250+5250 deposit* <br /> ❑ Minor Subdivision $200 <br /> ❑ Planned Unit Development(PUD) Refer to rezoning fees <br /> ❑ PUD Amendment $350 <br /> X Conditional Use Permit R-1, R-2$75;all others$250 <br /> ❑ 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 /> 0 Wetland Alteration Permit R-1,R-2 S150;all others$200 <br /> ❑ Wetland Buffer Permit R-1,R-2 S25;all others$100 <br /> ❑ Floodplain Permit $200 <br /> 0 Other <br /> ip *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 atter consideration of the application is completed. <br /> Please complete the reverse side of this application. <br />