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ar CITY CIF <br /> MOM] * COIVIMITNITY DEVELOPMENT DEPARTMENT <br /> • DEVELOPMENT APPLICATION <br /> "•,, 2401 Highway 10, Mounds View MN 55I12 <br /> ��$''I_'Parme41Qt 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 /Inp Skect7COTelephone , - 7/7%92v2) <br /> Address 2d� (1)00),Ve. 13/. Fax <br /> thais4PS `r€;,J ,4i 53 'z <br /> Interest in Property(check appropriate box) <br /> ❑ Owner of Property Contract for Deed Owner <br /> ❑ 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 thisapplication for it to be accepted. <br /> • Property Description/Proposal <br /> Address or General Location . .,07 tx p J4){ or. <br /> Legal Description i-!II i 1 eAlee j'r Afo Y c'0 t <br /> Property Identification#(PIN#) 6 7-7,0 -21- 37 i 6 tl Y.-9 <br /> #of Acres )4. <br /> • Current Zoning at-jiae f4t- � �- -1 <br /> 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 $200 <br /> ❑ Planned Unit Development(PUD) •Refer to rezoning fees <br /> ❑ PUD Amendment $350 <br /> Conditional Use Permit R-1, R-til all others$250 . <br /> • <br /> ❑ Variance 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 after consideration of the application is completed. <br /> Please complete the reverse side of this application. <br />