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05/14/99 15:40 FAX 612 784 3462 CITY OF N g002/005 <br /> • <br /> 4 '3sY Y7 V a ' <br /> ©WEB COM I" NiT'Y DEVELOPMENT DEPARTMENT <br /> • DEVELOPMENT APPLICATION <br /> •,, il[" j 2401 Highway 10,Mounds View lvIN 55112 <br /> ''��'�• <br /> Par tner4ri 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 e,hctel f). -�(,( ire, Telephone 4 fZ—3/.5'31,5 Z <br /> Address l4f e. n �tl: _ Fax (D12- .3)5—S9/i6 <br /> Otho Pa't 2 y'CctitP3 <br /> Interest in Property(check appropriate box) <br /> X. Owner of Property Q Contract for Deed Owner <br /> O Lessee,Operator,Manager 0 Agreement to Purchase <br /> ❑ Other(explain) <br /> Applicants must provide evidence of interest hi 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 tiling of this application. The <br /> property owner must sign this application for it to be accepted. <br /> Property Description/Proposal <br /> Address ar General Location . Lal'-5 t uEsr Oi' eDCaE P ¢- t'OCOI 11441- LNOZT4 sta..) <br /> Legal Description L bT q 13‘,0Cie L P -R. V(liw. Treg.gtice. M <br /> • Property Identification#.(PIN O r ^ 36—23 —22-- 0.003 <br /> #of Acres O. 35 )re/G . <br /> Current Zoning �3 <br /> Type of Application 7 t 3- a'Y <br /> O Comprehensive Plan Amendment $250 L000°I—Leer-0 K.- <br /> • a Rezoning $250/acre; min$250 max$1500 <br /> O Major Subdivision $250+$250 deposit* <br /> O Minor Subdivision $200 <br /> C Planned'Unit Development(PUD) Refer to rezoning fees <br /> ❑ PUD Amendment $350 <br /> ❑ . Conditional Use Permit R-1, R-2$75;all others$250 <br /> o Variance R-1, R-2$100 all others$250 <br /> o Code Appeal $100 <br /> X Develop Review/Site Plan $125/au re;min$125 max$750 <br /> O Wetland Alteration Permit R-I,R-2$150;,all others$200 <br /> ❑ Wetland Buffer Permit R-1.R-2$25;ail others$100 <br /> ❑ Floodplain Permit $200 <br /> n 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 />