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CMr CF <br /> . C:',Ain APS COMMUNITY DEVELOPMENT DEPARTMENT <br /> III „-,..; <br /> ,.. <br /> - , <br /> t,:::.„,st DEVELOPMENT APPLICATION <br /> '`'" ighway 10, Mounds View MN S5I12 <br /> o"el%-Parener,N;As 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 Aici IS-alliy, Zecm Telephone((9/.L.) '780 34(`11 <br /> Address 9.3 26 44.0 7e,22cvc.Q_ Fax <br /> /ild 14- GL-6(//:-.0‘./ <br /> Interest in Property(check appropriate box) <br /> XOwner of Property a Contract for Deed Owner <br /> O Lessee,Operator,Manager ❑ 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 /> • 1-13 <br /> Address or General Location % PdA l j)V.J V l <br /> Legal Description /-o1 (t9 81I, I Si'I V e L Woo4 <br /> Property Identification#(PIN#) Or? -30 — X 3 -13- 405-G Y <br /> #of Acres <br /> Current Zoning <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 /> ❑ Conditional Use Permit R-1, R-2$75;all others$250 <br /> Variance:2 R-1, R-2$100 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 /> ❑ Wetland Buffer Permit R-1,R-2$25;all others$100 <br /> ❑ Floodplain Permit $200 <br /> ❑ 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 ager consideration of the application is completed. <br /> Please complete the reverse side of this application. <br />