Laserfiche WebLink
CITY f� OF <br />A <br />w�,n� J r/ <br />•[ ��i <br />Applicant Information <br />Name of Applicant <br />Address <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />DEVELOPMENT APPLICATION <br />2401 Highway 10, Mounds View MN 55112 <br />612-717-4020 <br />612-784-3462 - FAX <br />Please Type or Print Information - Complete Both Sides of This Form <br />� Iles, -t s'OY mAR/e Dick <br />f S i Re& 0,4k De. <br />/3iow'4J 010.0 !'Litt. <br />Telephone (%Z Vy-7 0(19 <br />Fax <br />4 cid rr <br />Interest in Property (check appropriate box) <br />X. Owner of Property at Contract for Deed Owner <br />a 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 <br />Legal Description <br />Property Identification # (PIN #) <br /># of Acres <br />Current Zoning <br />ROsi Red . pA-k Ltrei`u-f <br />r f r L.®c.tt_. i°etAir,AG I/ °i <br />dCn 30A.3 tpa 063k <br />Type of Application <br />❑ Comprehensive Plan Amendment <br />❑ Rezoning <br />❑ Major Subdivision <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />Minor Subdivision <br />Planned Unit Development (PUD) <br />PUD Amendment <br />Conditional Use Pemut <br />Variane <br />Code Appeal <br />Develop Review/Site Plan <br />Wetland Alteration Permit <br />Wetland Buffer Permit <br />Floodplain Permit <br />Other <br />$250 <br />$250/acre; min $250 max $1500 <br />$250 + $250 deposit* <br />$200 <br />Refer to rezoning fees <br />So--- <br />, all others $250 <br />R-1, R-2 $100 all others $250 <br />$100 <br />$125/acre; min $125 max $750 <br />R-1, R-2 $150; all others $200 <br />R-1, R-2 $25; all others $100 <br />$200 <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 />