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errf <br /> 05;•N`resCOMMUNITY DEVELOPMENT DEPARTMENT <br /> DEVELOPMENT APPLICATI <br /> 2401 Highway 10, Mounds View MN 551 <br /> •��°A°�t, Par«els612-717-4020 <br /> 612-784-3462 -FAX <br /> Please Type or Print Information-Complete Both Sides of This Form <br /> Applicant Information <br /> Name of Applicant Vanman Companies Architects and Bids Inc. Telephone 612-541-9552 <br /> Address 9211 Plymouth Avenue Fax 612-541-9857 <br /> Golden Valley, MN 55427 <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) Architect/General Contractor <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 Corner of Round Lake Road and County Road I <br /> 1111 <br /> Legal Description See attached ceg 7 Le-)- s <br /> L <br /> Property Identification#(PIN#) G�3 Q 3 a'c.1`O O <br /> #of Acres 6.3527 <br /> Current Zoning R1 <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 /> gr Conditional Use Permit R-1, R-2$75;all others$250 <br /> ❑ Variance R-1, R-2$100 all others$250 <br /> ❑ Code Appeal $100 <br /> 4L 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 - $125 x 3.5 acres = <br /> o Other FEE CALCULATIONi $437 <br /> C.U.P 75 <br /> Total: c5 <br /> *Deposits shall be paid to cover all costs of public notices,materials and staff or consultant time spent in the revi w, <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 /> jiO'G3 t-t(t.)-1 <br />