Development ApplicationCOMMUNTTY DEVELOPMENT DEPARTMENT
Planning Division - 7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-1100 I Fax'- (952) 227-1110
Submittal D"," G/ ,b lZEf ," o",",
CITY OI CHAI{HASSII{
APPLICATION FOR DEVELOPMENT REVIEW
CC Datei 60-Day Roview Date
Section 1: Application Type (check all that apply)
(Relet to tha apqoptiate Awlicatbn Ch@klist tot rcquired submittal in{omatbn that must accompany this aqk:ation)
E Comprehensive Plan Amendment $700 E Subdivision (SUB)
EL Plat 3 lots or lessn Conditional Use Permil (CUP)
E Single-Family Residence .B Metes & Bounds (2 lots)! Att otners
. $5oo
$12s0
$400
$600
E Administrative Subd. (Line Adjushent) ..
E Final Plat. -
$600 E Vacation ol EasementyRight-of-way (VAC)..
(Additional r€clrding te€s may apply)
..... $750 n Variance (VAR)
$100
$600
E Single-Family Residence
$300
$1s0
$150E lnterim Use Permit (lUP)
E ln conjunction with Single-Family Residence.. $40o
! Att others....................
EI Rezoning (REz)
E Planned Unil Development (PUD) .......
! Minor Amendment to exisling PUD
f, ett ott'ers
E Sign Plan Review..................
! Site Plan Review (SPR)
E Welland Alteration Permit (WAP)
$700'
. $3oo
. $200
. $150
.$275
. $200
. $,500
$150 ! ntt otners............
n Appeal of Administrative Decision .............
! Administrative ..... $100
! Residential/Commercial/lndustrial Districis.. $750- E Zoning Ordinance Amendment (ZOA).... .........
Ag!E: When rfiultiple appltc.tions ara processed co,rcu.ren y, ahe approrylate tae sha bo ctraryed tor e*h application.
! Notirication Sign (city ro insta[ and r6move)
I Escrow for Recording Documents (check allthat apply)$ per document
$200
! Conditional Use Permit - $50 E lnterim Use Permit - $50
n Wetland Alteration Permit - $50 n Easements (- easements) - $85
n Variance - $50 'fluetes a Bounds Sub (2 deeds) - $250
E Site Plan Agreement - $85
n Vacalion - $85
! Deeds - $1OO
TOTAL FEE:
'lncludes $450 escrow tor attorney costs.
"Additional escrow may be required tor other applications through lhe development conlract.
Section 2: Required lnformation
Description ol Proposal:
Property Address or Location:
Parcel #: '.=-
st
Legal Description:Lo
Wetlands Present?E
n\J
',{Lo
I Bt
o
Total Acreage:
Present Zoning
,)Yes E No
Requested Zoning J vr\ I \si
Requested Land Use Designation:
Kes'r1.",
\t k ft-)
Present Land Use
Existing Use of Property:
on:
h
E Check box it separate narrative is attached.
r,
L
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Section 3: Property Owner and Applicant lnformation
APPLICANT OTHER THAN PROPERTY OWNER: ln signing this application, l, as applicant, represent to have obtained
authorization lrom the property owner to file this application. I agree to be bound by conditions o, approval, subiect only to
the right to obieci at the hearings on the application or during the appeal period. l, this application has not been signed by
the property owner, I have attached separate 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. I will keep myselt intormed of lhe deadlines tor submission of material and the progress of this application. I
further undersland that additional fees may be charged lor consulting fees, leasibility studies, etc. with an estimate prior to
any authorization to proceed with the study. I cenity the intormation and exhibits submifted are true and correctt
Name Contact
Phone:
City/State/Zip
Email:
Signature
PROPERTY OWNER: ln signing this application, l, as property owner, have lull legal capacity to, and hereby do,
authorize the filing ol this application. I understand that conditions ol approval are binding and agree to be bound by those
condilions, subject only to the right to ob,ect at the hearings or during the appeal periods. I will keep mysel,
'nlormed
ot
the deadlines for submission ot material and the progress ol this application. I turther understand that additional fees may
be charged lor consulting lees, feasibility studies, etc. with an estimate prior to any authorization to proceed wilh the
study. lcenity that the intormataon and exhibits submitted are true and correct.
Cell:
Fax:
Date
Name: S*euetfaqtl" Bg.<f\5*e,.,"8,r. ""st^
Address:ito ;=Ite bt'z - tozo -bq83
Conlact
Phone:
city/srare/zip
Email
oY
ftaa..t cot"'t
5s 33
t^
Cell:
Fax:
Date
PROJECT ENGINEER (if applicable)
Name:
I 202-S
Address
Contact
Phone:
city/state/zip
Email:
Cell:
Fax:
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 lhis application, refer to the
appropriate Application Checklist and confer with the Planning Depanment to determine the specific ordinance and
applicable procedural requiremenls.
Who should receive cop i6s of staff re ports?
E Property Owner Emaa
mail
mai
mai
'Other Contact lnf ormation:
dWt;12ms;
! Applicant
! Engineer! otner
E
E
E
Address:
city/staterzip
Email:
INSTRUCTIONS TO APPLICANT: Complete all necessary lorm lields, then select SAVE FORM to save a copy to your
device. PRINT FORM and deliver to city along with required documents and payment. SUBMIT FORM to send a digital
copy lo the city for processing.
Address:
Signature:
Section 4: Notif ication lnlormation
A delermination ot completeness of the application shall be made within '15 business days ot application submittal. A
written notice of application deficiencies shall be mailed to the applicanl within '15 business days ol application.