Laserfiche WebLink
4riiTY CF. <br /> OUNDO COMMUNITY DEVELOPMENT DEPARTMEN <br /> DEVELOPMENT APPLICATIOlp <br /> ts� 2401 Highway 10, Mounds View MN 55112 <br /> 11119P1;* <br /> •PartoetshIQ' 612-717-4020 <br /> 612-784-3462 -FAX <br /> Please Type or Print Information-Complete Both Sides of This Form <br /> Applicant Information /� ' _f-'O LEE , / <br /> Name of Applicant l 1 Telephone -G5 ) ' z!'—(1 <br /> Address .54—'73—L e t h b 1 Ave (�, Fax <br /> • <br /> TI—loec:._Vi.--tAJ <br /> Interest in Property(check appropriate box) <br /> Owner of Property ❑ Contract for Deed Owner <br /> ❑ Lessee,Operator,Manager 0 Agreement to Purchase <br /> O 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 • , �y <br /> Address or General Location `t'-" 2 Z6pd • V(o wv1S ‘flAW I <br /> Legal Description 7A-e �A41- ,'fi I �, Sn - t47 ik k // 4 elA <br /> II /" A , <br /> Property Identification#(PIN#) Paa7ynsC;why T <br /> #of Acres <br /> Current Zoning <br /> Type of Application <br /> ❑ Comprehensive Plan Amendment $250 <br /> ❑ Rezoning $250/acre; min$250 max$1500 <br /> ❑ Major Subdivisio• • + I it* <br /> \/Minor Subdivision $200 <br /> Planned Unit Development(PUD) Refer to rezoning fees <br /> o PUD Amendment $350 <br /> Conditional Use Permit R-1, R-2$75;all others$250 <br /> i •�: Variance R-1, R-2$100 all others$250 <br /> • Code Appeal $100 <br /> O 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 $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 after consideration of the application is completed. <br /> Please complete the reverse side of this application. <br />