7030 Lucy Ridge Lane applicationCOMMUNITY OEVELOPMENT DEPARTMENT
Planning Division - 7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, lVlN 55317
Phone: (952) 227-1100 lFax: (952) 227-1110 CITY OT CII,INIIASSTI'I
Submittal Date l,-t3 tS 5 -t3- L5
APPLICATION FOR DEVELOPMENT REVIEW
pc o"t", L\ -\s 25
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Section 1: Application Type (check all that apply)
(Refet to the apprcpiale Applicdtion Chacklist for Equircd submittal infomatioh that must accompany this applbotion)
! Comprehensive Plan Amendment $700 ! Subdivision (SUB)
Plat 3 lots or less .
Plat over 3 |ots.......................
Metes & Bounds (2 lots)........
Consolidate Lots....................
E Condilionat Use Permit (CUP)
fl Singl€-Family Residence ................................ $400
Dn
tr
tr!n
. $5oo
$1250
$300
$1s0
. $150
$700-
$150
$275
$200
$500
E Al ottrers......
! lnterim Use Permit (lUP)
E At others....
fl Rezoning (REZ)
E Sign Plan Review...................
n Site Plan Review (SPR)
$150 E att otners...........
E nppeat of Administrative Decision
! Zoning Ordinance Amendment (ZOA)
E ln conjunction with Single-Family Residence.. g40O
Administrative Subd. (Line Ad.iustment) -...
Final Plat..... ... . ..
$600
"" """"$600
! Planned Unit Development (PUD) .................. $750
! Minor Amendment to existing PUD..............-.. $100
! rut Ofirers...... .......................$600
E Vacation of Easements/Right-of-way (VAC)........ $300
(Additional recording fe€s may apply)
E Vanance (VAR)...$200
fl Wetland Alteration Permit (WAP)
n Single-Family Residence........
! Administrative ...................... $1OO
E Residential/Commercial/lndustrial Diskicts.. $750-.
E Escrow for Recording Documents (check all that apply)............$ per documenl
n Conditional Use Permit - $50 E lnterim Use Permit - g50 n Site plan Agreement - $85D Wetland Alteration Permit - $50 n Easements ( easements) - $85 E Vacation - $85
B Variance - $50 tr Metes & Bounds Sub (2 deeds) - $2S0 E Deeds - $1OO
TOTAL FEE:*lncludes $450 escrow for attorney costs.
'.Additional escrow may be required for other applications through the development contracl.
Section 2: Required lnformation
Description of proposat: Allow contruction of sport court by correctly identifying
7030 Lake Lucy Ridge RdProperty Address or Location:
Parcet#.251310240
.37
Legal Desc ption I-Lo 6l;i
Wetlands Present? E Yes El No
Lr^s,iioclcQ
..,
)
Total Acreage:
Present Zoning : Residential
ns1;6n'N/APresent Land Use Desig
Existing Use of Property
60-Day Revjew Date:
Aq!E: When multlple appllcatlons ara procesaed concurrenw, the approprlab faa shatl be charyod lor each apptlcaalon,
Requested Zoning: N/A
Requested Land Use O"r,nn",,onlIF
E Check box if separate narrative is attached.
Section 3: Property Owner and Applicant lnformation
APPLICANT OTHER THAN PROPERTY OWNER: ln signing this application, I, as applicant, represent to have obtained
authorization from the property owner to file this application. I agree to be bound by conditions of approval, subject only to
the right to object at the hearings on the application or during the appeal period. lf this application has not been signed by
the property owner, I have attached separale documentation of full legal capacity to file the application. This application
should be processed in my name and I am the party whom the City should contact regarding any matter pertaining to this
application. lwill keep myself informed of the deadlines for submission of material and the progress of this application. I
further understand that additional fees may be charged for consulting fees, feasibility studies, etc. with an estimate prior to
any authorizalion to proceed with the stud y. I certify that the information and exhibits submitted are true and correcl.
Name K Contact
Phone:
,h-ti
I r-l \ltAddress]V
City/St
Email:
Signat
alelZi Cell:
Fax:
Dateure:al.
PROPERW OWNER: ln signing this application, l, as property owner, have full legal capacity to, and hereby do,
authorize the filing of this application. I understand that conditions of approval are binding and agree to be bound by those
condilions, subject only to the right to object at the hearings or during the appeal periods. I will keep myself informed of
the deadlines for submission of material and the progress ofthis application. lfurther understand that additional fees may
be charged for consulting fees, feasibility sludies, etc. with an estimate prior to any authorization lo proceed with the
study. I certify that the information and exhibits submitted are true and correct.
Name:N,c kt,fr E Contact:
Phone:
V
Address 1^Lxc qt]L
City/State/Zip Cell:
Fax:h,u.,". . Er",
Signature Date:
This application must be completed in full and be typewritten or clearly printed and must be accompanied by all
information and plans required by applicable City Ordinance provisions. Before filing this application, refer to the
appropriate Application Checklist and confer with the Planning Department to determine the speciflc ordinance and
applicable procedural requirements.
A determination of completeness of the application shall be made within 15 business days of application submittal. A
written notice of application deficiencies shall be mailed to the applicant within 15 business days of application.
PROJECT ENGINEER (if applicable)
\It'iI l,|eNamev,v ".&r.r.,Contact:
Phone:Address: t\.)5 L{ IL{
City/State/Zip
Email:
Cell
Fax
Cgo-:Qr - Cx3l
tl*vivtA.rp*
Who should receive copies of staff reports?*Other Contact lnformation:
nItrtr
Property Owner EmailApplicant EmailEngineer EmailOther. Email
Name:
Address
Email: A
INSTRUCTIONS TO APPLICANT: Com plete all necessary form fields,select SAVE FORM to save a copy to your
device. PRINT FORM and deliver to city along with required documents an
Section 4: Notification lnformation
copy to the city for processing.
d payment. SUBMIT FORM to send a digital
Email:
City/State/Zip: