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1 <br /> [1 ©uhy COMMuNTI'y DEVELOPMENT DEPARRTNIENT <br /> � <br /> • o DEVELOPMENT APPLICATION <br /> I, Y#. 2401 Highway 10, Mounds View MN 55112 <br /> p�tl-Parment4' - <br /> 612-717-4020 <br /> 612-784-3462 -FAX <br /> Please Type or Print Information-Complete Both Sides-o-f This Form `._. _ __.._._ <br /> Applicant Information <br /> Name of Applicant .ERNE s a NAP._L Cr itt E D4 / <br /> Nlt-L sw Telephone 7rif- 7 47 y(y <br /> Address._.i- -z--_- :• <br /> F(5/7'/GR.EEA/eJOD D Die ', -'1:':..1;...,_: <br /> ti_ - <br /> 41.-.::,fA/1Llh�� 7 <br /> ......,_. d R(! � G V� ,moi %/ — <br /> • <br /> Interest in Property(check appropriate box) <br /> ,fid Owner of Property ___ , <br /> -- .: <br /> -.;,,-.10 . _Contract for Deed Owner <br /> 0 - Lessee,Operator,Manager - - <br /> 0 Other(explain) _ - - ,- ..a 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 ownergiving consent to the filing of this application. The <br /> • _ property owner must sign this application for it to be accepted. • -=- __ <br /> _—Property Descnption/Proposa! <br /> s Addreass or General Loc .....!,....!...-..i.:,.,,...'3.4.:. • ... <br /> Location <br /> 0 . - <br /> .. Gat=F' <br /> Leal D _ . <br /> AIGJ�nDI�,c� <br /> _ . . 8 escrtption - - <br /> Property IdentlfiCa o-2-'(PIN#�' - - --�s" " - r,e, , ,� L.. {.�.. <br /> �r�. o �lasL� �r/y ToQ `s •1 R�w....ba.I <br /> .#.` ereS - _ '-�.._' -thl Ail 7Sa/V •40bi /l/� --EX H. /76 / 1r'-JU! .5 Birk.' _.. . <br /> Current Zoning _. . <br /> — �esioEti7lAL -,: - - <br /> Type of Application <br /> - Q Comprehensive Plan Amendment $250 <br /> Q Rezoning <br /> 5250/acre; min 5250 max 51500 <br /> Q Major Subdivision 5250+$250 deposit* <br /> ,is Minor Subdivision—. $200 <br /> 0 Planned Unit Development(PUD) Refer to rezoning fees <br /> 0 PUD Amendment S350 <br /> a Conditional Use Permit <br /> R-I, R-2$75:all others$250 <br /> o Variance <br /> ❑ Code Appeal R-I, R-2$100 all others$250 - <br /> 0 5100 <br /> Develop Review/Site Plan S 125/acre;min$125 max S750 <br /> o Wetland Alteration Permit <br /> _ R-1,R-2$I50;all others$200 -: <br /> a Weiland Buffer Permit <br /> R-1,R-2$25;all others$100 <br /> O Floodplain Permit S200 <br /> Q Other <br /> *Deposits shall be paid to cover all costs of public notices,materials and staff or consultant time spent in the review, <br /> • <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 />