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CI©I,k ,n CP <br /> NY.. 'w1! � <br /> `��'. : COMMUNITY DEVELOPMENT DEPARTME <br /> DEVELOPMENT APPLICATI <br /> !!='Aif•ir�r`"' 2401 Highway 10, Mounds View MN 55 <br /> �A$n=''Partners*11*. 612-717-40 <br /> 612-784-3462 -FAX <br /> Please Type or Print Information-Complete Both Sides of This Form <br /> Applicant Information A i <br /> Name of Applicant ! 1- 1 i Yl m l {�1` ' Telephone (1 a""7q-.9—(%() <br /> Address S& 70 u13±W Paid Fax <br /> )0a V(I).Lo) m]J 55110 <br /> Inserest 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 /> PropertyGene ption/Proposal �V!` F Sht` (�i e (lard <br /> Address or General Location iC <br /> III <br /> Legal Description ! t Bina: f Sf- `i S <br /> Property Identification#(PIN#) (D(,-,O a3 l f 0691 <br /> #of Acres L(* St t )c 'AN 1 <br /> a Si / <br /> Current Zoning 6 �' <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 /> o Planned Unit Development(PUD) Refer to rezoning fees <br /> ❑, PUD Amendment $350 <br /> X Conditional Use Permit R-1, R-2$75;all others$250 <br /> o "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 /> o Wetland Alteration Permit R-1,R-2$150;all others$200 <br /> ❑ Wetland Buffer Permit R-1,R-2$25;all others$100 <br /> o 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 />