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COMMUNITY DEVELOPMENT DEPARTMENT <br /> MOUrTD S MEW <br /> PLANNING APPLICATION <br /> 2401 Mounds View Blvd., Mounds View, MN 55112 <br /> (763) 717-4020 * Fax (763) 717-4019 <br /> permitsOmoundsviewmn.org <br /> Please Type or Print Information - Complete Both Sides of This Form <br /> Applicant Information <br /> Name of Applicant Free Life Family Worship Center Work # 763-710-7819 <br /> Address 7687 Long Lake Rd City Mounds View state MN zip <br /> Home # Cell # Fax # E-mail <br /> freelifefamilywc@aol.com Interest In Property <br /> (check appropriate box) <br /> 4 Owner of Property ❑Contract for Deed Owner ❑Lessee, Operator, Manager <br /> ❑Agreement to Purchase El Other <br /> Appllcantsmustpro vide evldenceoflnterestlnpropertyatthetlmeofoppllcat/on,andlfyouare <br /> not the owner of the property,you must elther provide a letter ofpermisslon from the owner <br /> glv/ng cat to the Aling ofth/s app#catlon or the propertyownwmusts/gn tfils appl/catlon for <br /> It to be accepted. <br /> Property Description/Proposal <br /> Address or General Location 7687 Long Lake Rd Mounds View, MN <br /> Legal Description <br /> Property Identification # (PIN #) <br /> # of Acres Current Zoning <br /> Type of Application (Please check the appropriate boxes): <br /> Application Type Fee Escrow <br /> Comprehensive Plan Amendment 500 $2,500 - $10,000 <br /> Rezoning 500 $2,500 - $10,000 <br /> Subdivision $750 2 500 - 10 000 <br /> Planned Unit Development PUD $750 $2,500 - $10,000 <br /> PUD Amendment 400 $2,500 - $10,000 <br /> ✓ Conditional Use Permit/Amendment R-1 R-2 200• all others 400 $2,500 - $10,000 <br /> Interim Use Perm it/Amendment 400 $2,500 - $10,000 <br /> Variance R-1 R-2 200• all others 400 $2,500 - $10,000 <br /> Administrative Variance R-1 R-2 100 $2,500 - $10,000 <br /> Text Amendment Zoning Code 400 $2,500 - $10,000 <br /> 11 Text Amendment Other City Code 300 $2,500 - $10,000 <br /> Develop Review Site Plan Review 400 $2,500 - $10,000 <br /> Wetland Alteration Permit R-1 R-2 200• all others 350 $2,500 - $10,000 <br /> Wetland Buffer Permit R-1 R-2 30• all others 100 $2 500 - $10,000 <br /> Easement Vacation 250 $2,500 - $10,000 <br /> Re-approval of Minor Subdivision or Plat Minor Subd. 50• Plat 100 2 500 - $10,000 <br /> Zoning Review of B-1 District Proposed Use 200 $2,500 - $10,000 <br />