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CITY CF <br /> aU! '[r:' COMMUNITY DEVELOPMENT DEPARTMEN <br /> -2 DEVELOPMENT APPLICATION <br /> '• 4All 2401 Highway 10, Mounds View MN 55112 <br /> 4'11-tyrrner+ 612-717-4020 <br /> 612-784-3462 - FAX <br /> Please Type or Print Information-Complete Both Sides of This Form <br /> Applicant Information h�n 2EAL <br /> �� �Name of Applicant L• Telephone (D LZ- 33?. S/cfci <br /> 401Address OI Novi ^ C <br /> ttg.Q S-tRfr i, ,TE q t( Fax 4(s. 31C. yrG c/ <br /> I'II N, i kva.c c, M tJ sc'I o t <br /> Ani•J : MIL() `PiAVER-o' <br /> Interest in Property(check appropriate box) <br /> O Owner 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 /> Address or General Location Cru r}i r_A' T : iu. 4 V cw I,1Rty <br /> i, <br /> Legal Description I Rws_r /dl �ZEG��r•re tter C ANo S..R v c 1 t.&c . Ll i aI <br /> Property Identification#(PIN#) — to S o f 2 eel i s 4 r ar e (e S r Atc:64-1 Zak Ce <br /> #of Acres I. Go <br /> Current Zoning <br /> Type of Application <br /> ❑ Comprehensive Plan Amendment $250 <br /> X Rezoning $250/acre; nun$250 max$1500 <br /> ❑ Major Subdivision $250 4-$250 deposit* <br /> ❑ Minor Subdivision $200 <br /> ❑ Planned Unit Development(PUD) Refer to rezoning fees <br /> a PUD Amendment $350 <br /> pC Conditional Use Permit R-1, R-2$75;all others$250 <br /> a Variance R-l, R-2$100 all others$250 <br /> a Code Appeal $100 <br /> O Develop Review/Site Plan $125/acre;min$125 max$750 <br /> o Wetland Alteration Permit R-1.R-2$150;all others$200 <br /> ❑ Wetland Buffer Permit R-I,R-2$25;all others$100 <br /> o 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, <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 />