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���� �� <br />� <br />�OMMUNIi� �EVELOPMENi DEPARiMENi <br />PL.ANNiNG APPl�IC,P�`f�ON <br />���� �40� c���,ty �o�a zo, �o�nas v�ew, �n� 5�i�2 <br />� (763) 717-4020 <br />F�x(b51) 765-1660 <br />� <br />� ���� <br />�°�'r@SS � P�rtn��5���� <br />P(ease '��+pe �r Prire� inio�°r���ian � Co�splete �o�h Sid�� af �'his �orrn <br />��plita�fi Inf�rr��t��r� - <br />i�ame o� Appl�cani , �.�_1_,�_ €� �`�� .--��:; ��,.r., %9ephone 7 G "i _ "' �� ,..{ . _;�. <br />Address <°�. ..�� � -� ,� .� �� =,�z,.,�..� ;°� Fax _: <br />� • � � 4� '�r'� �.,�F,�, C-m�iE� ,.� e_ r� �r�•�F� -� `�'r�t c-r„ . `�' �:�-, <br />_ �� . <br />Interest �n Prop�rt� (cheek appropriate 6ax} <br />i� Owner of PropeKy <br />� Lessee, Operator, Manager <br />❑ Other (explain) <br />O Contra�t foe Deed Owner <br />❑ Agreemen� ta Purchase <br />A�piica�iis �oe�s� p�ovicle evr�ence o� ir�te�es� �t� prep�� �� ghe ta�� o� ap�lic�timn, and if �au �re r��t <br />the owner of t}�e pro��r�y, y�u tw�us� pravade a I�tter o# p�rmis�ic�n ��°orn �he owner gr��rag c�n�en� �s� <br />t�e �lin� �� this apploca�io�a ihe propet°�y o�irtter t�us� s�gst t}�is app[icati�r� f�r it to �� a�c�piedo <br />_ ;_=:.', <br />� �r�perty Des�r6ption/�ropo�ai <br />Address or Generai Location � � � � :� °� -` �� � ��=L � �' ��' _ _ _ __ <br />Legal Deseription ,� �� � ta� �{t�?�- ,��i � �' - _ �4 � •' ��c �b::6 �:,.•=,a�� _ ,.�.�.�� <br />� <br />Property Identificatian # (PIN #) , <br /># af Acr�s <br />Current Zoni�g <br />�� <br />� � �, 6 .t.z� - <br />� � <br />Type of Applieation <br />L7 Comprehensive Plan Amendment <br />0 Rezoning <br />❑ Major Subdivision <br />� Minar Subdivision <br />❑ . . planned Unit �evelopment {PU�) <br />PUD Arnendment <br />` Conditional/Interim Use Permit <br />Variance <br />❑ co�� ���ea� <br />� Develop Review/Site Plan <br />❑ Wetland Alteration Permit <br />❑ Wetiand BufFer Permit <br />❑ �loodplain P°rmit <br />❑ Other <br />$250 � . <br />$Z5�/acre (Min $250 max $1500} <br />$25a/acre (mine $500} <br />$200 <br />, �500 plus $500/acr� , /; <br />- -�.35Q � �" <br />R-1, R-Z,�all others $30O <br />Ra1, R-2 $1Q0 �Il oihers $300 <br />�loo <br />$iZ5/acre; min $125 max $750 <br />R-1, R-Z �150; ail others $200 <br />R-1, R°2 $25; alf others �100 <br />$200 <br />A deposit may be required to cover costs of public notices, materials and staff ar consultant time spent in the review, research or <br />preparatlon of materials associated with this application. The appiicant shall be responsible for aU reasonable incurred costs in excess of <br />the initla! deposit amount. Any portion of the deposit not spent or encurnbered shall be refunded to the appliCant wiChin 30 days aftar <br />consideration of the application is compfeted. <br />