Laserfiche WebLink
F CF <br /> S`YY i �i t;iu' <br /> 1 <br /> [flfl . f.O COMMUNITY DEVELOPMENT DEPARTMENT <br /> • 1. <br /> DEVELOPMENT APPLICATION <br /> `f+�' 2401 Highway 10, Mounds View.MN 55112 <br /> °Q1'4-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 t�� rm r f i' r Telephone 62/2--717-/67,96 <br /> Address ZL I/ 7 764c- D2. Fax <br /> /1lav 1 Si/r4-J oma , "5---//2 -Interest in Property(check appropriate box) <br /> Owner of Property ❑ Contract for Deed Owner <br /> o 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 /> 41) Address or General Location Z 0 5 / /E'/1 iggC,8- �2. <br /> Legal Description <br /> Property Identification#(PIN#) <br /> #of Acres /� <br /> Current Zoning IC 6 /Drat)Tic.--( <br /> Type of Application <br /> o Comprehensive Plan Amendment $250 <br /> ❑ Rezoning $250/acre; min$250 max$1500 <br /> ❑ Major Subdivision $250+$250 d-.osit* <br /> o Minor Subdivision $200 <br /> ❑ Planned Unit Development(PUD) Refer to rezoning fees <br /> 4 PUD Amendment $350 <br /> Conditional Use Permit R-1, R-. others$250 <br /> ❑ Variance R-1, R-2 I I all others$250 <br /> ❑ Code Appeal $100 <br /> ❑ Develop Review/Site Plan $125/acre;min$125 max$750 <br /> ❑ Wetland Alteration Permit R-1,R-2$150;all others$200 <br /> o Wetland Buffer Permit ® R-1,R-2$25;all others$100 <br /> ❑ Floodplain Permit ��b) <br /> $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. <br />