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Mi.ii?%% . COMMUNITY DEVELOPMENT DEPARTMEN <br /> DEVELOPMENT APPLICATION <br /> • <br /> ?"'''�" 2401 Highway 10, Mounds View MN 55112 <br /> p'e 'ti.PartneriilQ <br /> 612-717-4020 <br /> 612-784-3462 -FAX <br /> Please Type or Print Information-Complete Both Sides of This Form <br /> Applicant Information �/p�A41i//4Ld5TeIephone rQ /p� —7,c s�/T 0 ,s <br /> Address vy,-`e,il'L 'D ffl_1( I) rm Fax <br /> ivt ice /rids' Z1/' etiJ <br /> In rest in Property(check appropriate box) <br /> zy�` Owner of Property 0 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 /> Propertyption/Proposai <br /> Gene <br /> Address or General Location A r" ,// .1 rd r) .c 6 xiV lb v---N • <br /> `�' <br /> Legal Description , /( <br /> Property Identification#(PIN#) 0 7 'C .3 OZ OOC)0 <br /> #of Acres � <br /> Current Zoning <c1^ I /11 , L e- F i i z <br /> )/ <br /> Type of Application <br /> o Comprehensive Plan Amendment $250 <br /> ❑ Rezoning $250/acre; min$250 max$1500 <br /> O Major Subdivision $250+$250 deposit* <br /> O Minor Subdivision $200 <br /> ❑ Planned Unit Development(PUD) Refer to rezoning fees <br /> ❑ PUD Amendment $350 <br /> CP Conditional Use Permi�� R-1, R-2$75;all others$250 <br /> ❑ Variance R-1, R-2$100 all others$250 <br /> O 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 /> ❑ 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, III <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 />