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ii <br /> OWDO rs� �r,� <br /> �� %=% CO DEVELOPMENT DEPARTMENlik <br /> DEVELOPMENT APPLICATIO <br /> ?a ; , 2401 Highway 10, Mounds View MN 55112 <br /> °��'�•partnets*'4' 612-717-4020 <br /> • 612-784-3462 -FAX <br /> Please Type or Print Information-Complete Both Sides of This Form <br /> Applicant Information 01-76-6— <br /> Name of Applicant C R 6-6— - OA tc uvoa L,\,10 62c,P, phone 1 ASO-'{`t`t b <br /> Address 14 tt H.)1,, ,.., to Fax 1 8'o - rs- 1 <br /> ssw3z <br /> Interest in Property(check appropriate box) <br /> ❑ Owner of Property ❑ Contract for Deed Owner <br /> ❑ Lessee,Operator,Manager 111 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 ( S / f I$ E d71 w�o<< $tJ(.re_ <br /> Property Identification#(PIN#) ()J� ;30-�� — �- 00-7 c 4- acY7 <br /> #of Acres <br /> Current Zoning (2- <br /> Type <br /> 2-Type of Application <br /> ❑ Comprehensive Plan Amendment $250 <br /> ❑ Rezoning $250/acre; min$250 max$1500 <br /> ❑ Major Subdivision $250-÷-$250 deposit* <br /> ❑ Minor Subdivision 5200 <br /> ❑ Planned Unit Development(PUD) • Refer to rezoning fees <br /> ❑ PUD Amendment $350 <br /> ❑ Conditional Use Permit R-I, R-2$75;all others$250 <br /> ❑ Variance R-1, R-2$100 all others$250 <br /> ❑ Code Appeal $100 <br /> ❑ Develop Review/Site Plan $125/acr • t.• $125 max$750 <br /> Wetland Alteration Permit R-1,R $150• all others$200 <br /> ❑ Wetland Buffer Permit R-1,R- 25;all others$100 <br /> ❑ Floodplain Permit $200 <br /> Other Y._500 <br /> C a.c • <br /> *Deposits shall be paid to coverall 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 /> ... -:..,,.,..�_?: .d:.:'•.e><.,Si...: ?a�.:r.._ .:_..h.x•.rc....h,.>..X. .._.>.a?�.t.:i=.. r.e..,.'.` '3.n��k:.= `�F' re.* S.,u,_. ,:aaeaasw.:' _ Y. `�`r. 'z+-3!�; ... <br />