Application 2-16-07
CITY OF CHANHASSEN
7700 Market Boulevard - P.O~ Box 147
Chanhassen, MN 55317 - (952) 227-1100
Planning Case No. 0/ -o~
pr -(lh'OLlSI1 O'S -35""
DEVELOPMENT REVIEW APPLICATION
PLEASE PRINT
ApRlicant N8l!Ie and Address:
GCAv'~ Ije~~'dc
-, "3 I W Cj ~ ti:1 S1rt:-e r
C~~SI2t1 J"n,cJ 55"3/7
Contact: C9Clf \.J '
Phone: G/1--Ce7b -,?;J,g"l Fax: C?s,)- ~~-I /37
Email: he~t.:de...b.<..I./derJ(fUYo..../u.o . ccU//
Owner Name and Mdress:
~r1j </ Lettie I~ZJck
7?J I W q 07':!1 5f
C~a.~S2Vl I MN S53/7
Contact: CZQY't. '
Phone:~/2,-4z1 ~1)C(89' Fax: 95;<,-c.t9~-1/31
Email: be~z1(.Lf(7,-<-,' I~ ~ VuJwo . COH1
NOTE: Consultation with City staff is required prior to submittal, including review of development
plans
Comprehensive Plan Amendment
Temporary Sales Permit
Conditional Use Permit (CUP)
Vacation of Right-of-Way/Easements (VAC)
X Variance (VAR)
Interim Use Permit (IUP)
Non-conforming Use Permit
Wetland Alteration Permit (WAP)
Planned Unit Development*
Zoning Appeal
Rezoning
Zoning Ordinance Amendment
Sign Permits
Sign Plan Review
Notification Sign - $200
(City to install and remove)
Site Plan Review (SPR)*
X Escrow for Filing Fees/Attorney Cost**
- $50 CUP/SPRNACNARlWAP/Metes & Bounds
- $450 Minor SUB
TOTAL FEE $
Subdivision*
An additional fee of $3.00 per address within the public hearing notification area will be invoiced to the applicant
prior to the public hearing.
*Sixteen (16) full-size folded copies of the plans must be submitted, including an 8%" X 11"
reduced copy for each plan sheet along with a diaital copy in TIFF-Group 4 (*.tif) format.
**Escrow will be required for other applications through the development contract.
Building material samples must be submitted with site plan reviews.
NOTE: When multiple applications are processed, the appropriate fee shall be charged for
each application.
PROJECT NAME: ~d-:5,-<-'(1'~_Le ~
LOCATION: 73/ ~ 9Gi1:t---5-Jre-e/-
~Y' i~ce
LEGAL DESCRIPTION: 5ee.. 5(( rvey
TOTAL ACREAGE: 1,2-2-
WETLANDS PRESENT: YES NO
PRESENT ZONING: 1}--2
REQUESTED ZONING: 11-2-
PRESENT LAND USE DESIGNATION: . L 0'-0 ~5(/Y
REQUESTED LAND USE DESIGNATION: L-sL<!J i}.J1s/~
/
REASON FOR REQUEST: d.rJ5lt}1-kce co ~ ( )CV1 i(U(fJ?
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, you should confer with the
Planning Department to determine the specific ordinance and procedural requirements applicable to your application.
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.
This is to certify that I am making application for the described action by the City and that I am responsible for complying with
all City requirements with regard to this request. 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 have attached a copy of proof of ownership
(either copy of Owner's Duplicate Certificate of Title, Abstract of Title or purchase agreement), or I am the authorized person
to make this application and the fee owner has also signed this application.
I will 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
authorization to proceed with the study. The documents and information I have submitted are true and correct to the best of
my knowledge.
~WP/
Signat of Applic.ant
1)~~ 7
Date
~/~
Signa re of Fee wner
~.j~7
Date
G:\pLAN\forms\Development Review Application.DOC
Rev. 12/05
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