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COMMUNITY DEVELOPMENT DEPARTMENT <br /> MOUPW�JVIEW2401 <br /> PLANNING APPLICATION <br /> 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 Nathan Dornquast Work# 612-386-6519 <br /> Address 7149 Pleasant View Dr CityMounds View StateMN Zip55112 <br /> Home # 612-386-6519 Cell #612-386-6519 Fax # E-mail <br /> nathan@dornquast.com Interest in Property <br /> (check appropriate box) <br /> Owner of Property ❑Contract for Deed Owner ❑Lessee, Operator, Manager <br /> ❑Agreement to Purchase ❑Other <br /> Applicantsm ustpro vide a vidence ofinterestin propertyatthe tim a ofapplication,andifyouare <br /> not the ownerofthe property,you must eitherprovide a letterofpermission from the owner <br /> giving consent to the filing of this application or the propertyownermustsign this application for <br /> It to be accepted. <br /> Property Description/Proposal <br /> Address or General Location 7149 Pleasant View Dr/ 3033 Woodale Dr <br /> Legal Description HIDDEN HLW S LOT 2 BLK 1 /KNOLLWOOD PK,MI SUBS <br /> Property Identification # (PIN #) <br /> # of Acres 1.5 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 /> Rezoninq $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 Permit 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 /> Text Amendment Other City Code 300 $2,500 - $10,000 <br /> Develop Review Site Plan Review 400 2 500 - t10,000 <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 />