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OUNIDO COMMUNITY DEVELOPMENT DEPARTMENT <br /> • DEVELOPMENT APPLICATION <br /> • <br /> ;1%.1,1 F, 2401 Highway 10, Mounds View MN 55112 <br /> Afro <br /> i''''=s-Partners"'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 Do t-o4-4 e e 3 i of t'r e k Telephone 672- 717 2d yS <br /> Address 7d'O S ( Len-;A. Cit-cLe Fax <br /> 14044.14 A U,'e w I1 At SS 11 Z <br /> Interest in Property(check appropriate box) <br /> X Owner of Property ❑ Contract for Deed Owner <br /> ❑ Lessee, Operator,Manager 0 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 or General Location 78o - Gt Lo r i cZ Ci yc le / <br /> Legal Description 1-0 1" 1 3L0c1( 1 LR.ASide Cot-cm"- <br /> Property Identification#(PIN#) 06 3© 2 3 3 3 OO/8 3 <br /> #of Acres x . 5- <br /> Current Zoning <br /> Type of Application <br /> ❑ Comprehensive Plan Amendment $250 <br /> ❑ Rezoning $250/acre; min$250 max$1500 <br /> ❑ Major Subdivisi•n $250+$250 d-. * <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 /> a Variance R-1 R-2$100 all others$250 <br /> ❑ Code Appeal 1' __L______-1 <br /> `� <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-1,R-2$25;all others$100 <br /> ❑ Floodplain Permit $200 <br /> o 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. ' -"- C.) 2. <br />