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COMMUNITY DEVELOPMENT DEPARTMENT <br />MOUN-MS <br />virw <br />PLANNING APPLICATION <br />2401 Mounds View Blvd., Mounds View, MN 55112 <br />(763) 717-4020 * Fax (763) 717-4019 <br />permits@moundsviewmn.org <br />Please Type or Print Information - Complete Both Sides of This Form <br />Applicant Information <br />Name of Applicant Christopher Wand Work # (563) 599-6800 <br />Address 401 8th Avenue SE City Cedar Rapids State IA Zip 52401 <br />Home # (563) 599-6800 Cell # (563) 599-6800 Fax # (319) 393-0324 <br />E-mail chris@primus-companies.com <br />Interest in Property (check appropriate box) <br />❑Owner of Property <br />❑Agreement to Purchase <br />❑Contract for Deed Owner <br />40ther Architect / Owner Agent <br />❑ Lessee, Operator, Manager <br />Applicants must pro vide evidence of interest in property at the time of application, and if you are <br />not the owner of the property, you must either provide a letter of permission from the owner <br />giving consent to the filing of this application or the property owner mustsign this application for <br />it to be accepted, <br />Property Description/Proposal <br />Address or General Location 2442 Mounds View Boulevard <br />Legal Description <br />Lot 1 Block 2 of Anthony Properties Addition <br />Property Identification # (PIN #) 083023230007 <br /># of Acres <br />3.1453 <br />Current Zoning PUD <br />Type of Application (Please check the appropriate boxes): <br />Comprehensive Plan Amendment <br />$500 <br />Rezoning <br />$500 <br />Major Subdivision <br />$700 <br />Minor Subdivision <br />$350 <br />Planned Unit Development PUD <br />$750 <br />✓ <br />PUD Amendment <br />$400 <br />Conditional Use Permit/Amendment <br />R-1, R-2 $200; all others $400 <br />Interim Use Permit/Amendment <br />$400 <br />Variance <br />R-1, R-2 $200; all others $400 <br />Administrative Variance <br />R-1, R-2 $100 <br />Text Amendment, Zoning Code <br />$400 <br />Text Amendment, Other City Code <br />$300 <br />Review/Site Plan Review <br />$400 <br />-4Develop <br />Alteration Permit <br />R-1, R-2 $200; all others $350 <br />-Wetland <br />Wetland Buffer Permit <br />R-1, R-2 $30; all others $100 <br />Easement Vacation <br />$250 <br />Re -approval of Minor Subdivision or Plat <br />Minor Subd. $50; Plat $100 <br />=-zoning <br />Review of B-1 District Proposed Use <br />$200 <br />Page I of 2 <br />