Appplication for Development review 1085 Holly Lane5 k
COUTUN]TY DEVELOPTENT OEPARTMENT
Planning Division - 7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-1100 / Fax: (952) 227;1110 *crTYorcnlr{rrAsslN
APPLICATION FOR DEVELOPMENT REVIEW
Subminal Date L t3 PC Date:CC Date:6GDay Reviow Date:e
(Relet to the app,E,Viate A!4,licati],1 Checuisl for requiod submittd infonnation that musl accompany this apdbdlion)
E Comprehensive Plan Amendment......,..................$600
$32s
$500
$325
$500
$750
$100
$5m
$150
E Subdivision (SUB)
! Creat€ 3 lots or less ...........$500E con ditional Use Permit (CUP)E Create over 3lots.......................$1000 + $15 per( lots)tr Single,Family Residence .................
tr All Others ntrtrtr
Metes & Bounds (2 lots).................................. $300
Consolidate 1ots.............................................. $1 50
Administrative Subd. (Line Adiustment) .......... $150E lnterim Use Permit (ruP)tr
D
ln conlunction with Single-Family Residence.Final Plat + $'15 per lot $700'All Others.......'(lncludes $450 escrow for attomey costs)
'Addidonal $crovr rnay b6 r€qulr€d fq oth6r applications
th.ough th€ da/elopmErtt contract.
E Vacation of Easemenlsi/Right-of-way (VAC)........ $300
(Addi[ql8l rocodlng iae6 m8y apdy)
tr Rezoni ng (REZ)
trtrtr
Planned Unit Development (PUD)
Minor Amendment to existing PUD
All Others
El Variance (VAR).... .......................
E Wetland Alt€ration Permit (WAP)
$200
! Site Plan Reviow (SPR)tr!trtr
Administrative $100
$s00
$150
$275
$200
$500
Commercial/lndustrial Districts'
Plus $10 p6r 1,000 square f6et of building area:( thousand square feet)
'lndudB number of !!tgg4g onploye€s:
'lnclud€ number of lgg employeB:tr Resid€ntial Districts...... ... . .. ..$500
Plus $5 per dwelling unit ( units)
!!SEE: ylhen muldple apptlcatlons .ro proc.stod concunlndy, ahe a,plro!,/,.,o lt sh. be ch.tg.d tot c.ch opp c.don.
E Notification Sign lcity to tnstau aM rsrnove)s200
|n Property Orrners' List within 500' (city to generate Et€r prFsppllcatlon me€ting)................... ...$3 peraddress( addresses)
Escrow for Recordi ng Documents (check all that apply)$document
Conditional Use Permit $so tr lnterim Use Permit $50 Site Plan Agreem - $8s
fl WeUand Alteralion Permit - $50
E Varianc€ - S5O
-l Easements ( easements) $85 - - Vacation - $85-'l Metes & Bounds Sub (2 deeds) $250 .Deeds - $100' TO1al PgE' $510 00
Description of Proposal:
Property Address or Location:'l 085 Holly Lane
Parcel #. 256450020 Legal Doscription:TWP 1 16, RNG 023, SEC 02
Total Acreage:0.85 ac wetlands Present? E ves El tto
Present Zoning:RSF Low Density Requested Zoning . RSF Low Dsnsity
Pr€sent Land Use Desig nation. Res 1 Unil
Existing Us6 of Propefi Single Family Residencs
Section 1: Application Type (check all that apply)
r
Section 2: Required lnformation
E Check box if soparate narrative is attached.
Roquested Land Use Designation . Res 1 Unit
zlztlt\,.tlnl,Z
I Appeal of Administrative Decision........................
I Zoning Ordinance Amendment (ZOA).................
Section 3: Property Owner and Applicant lnformation
APPLICANT OTHER THAN PROPERW OWNER: ln signing this application, l, as applicant, represenl 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 separate documentation of full legal capacity to file the application. This application
should be processed in my name and I am the party whom th€ City should contact regarding any matter pertaining to this
application. I will keep myself informed of th€ deadlines for submission of material and the progress of this application. I
further understand that additional fees may be chargod for consulting fees, feasibility studies, etc, with an estimate prior to
any authorization to proceed with the study. I certify that th€ information and exhibits submitted are true and c-onect.
Name. Michaal Koenan Contact:
Address: 2500 University Ave W Sle C8 Phone:651-34G8568
Cityistate/Zip . Saint Paul, MN 551'14 6"1g. 763-670-7937
Email:Michaol@urbanscosystemsinc.com Fax:
Signature:Date:2t15t2023
PROPERTY OWilER: ln signing this application, l, as property owner, have tull legal capacity to, and hereby do,
authorize th6 filing of this application. I undeEtand that conditions of approval are binding and agree to be bound by those
conditions, subiect only to the right to object at the headngs or during the appeal periods. I will keep myself informed of
the deadlines for submission of material and the progress of this application. I further unde6tand that additional fees may
be charged for consulting fees, feasibility studi€s, etc. lvith an estimate prior to any authorization to procoed with the
study. I certify that the information and exhibits submitted are true and conecl.
11"r". Dave Pinckney
Ad dress. 1085 Holly Lans
City/State/Zip . Chanhassen, MN 55317 Ce . 630-200-0662
gr"1. davidbpinckney@gmail.com Fax:
Signature:Date . 2t15t2023
Contact:
Phone:
Cell:
Fax:
Who rhould recaive copies of staff reports?'Other contact lnformatlon:
! Property
E Applicantl-l EnoineerE oui"r
Owner Email Name
Email r{d'-€t td}...6FiBd.m Address:
Email
Email
_City/Statezip:
Email:
INSTRUCTIOI{S TO APPLICAI{T: Complete all nocassary form fields, then seloct SAVE FORM to save a copy to your
device. PRINT FORM and d€liver to city along with requirsd doqrments and payment. SUBMIT FoRM to s€nd a digital
copy to th€ city for procossing.
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 ptovisions. Before filing this application, refer to the
appropriate Application Checklist and confer with the Planning Department to determine th€ specific ordinance and
applicable procedural requirements.
A determination of completeness of the application shall be made within '15 business days of application submittal. A
written notic€ of application deficiencies shall be mailed to the applicant within 15 business days of applicetion.
Section 4: Notification lnformation
Contact: _
Phone:
PRo.TEGT ENGINEER (if applicable)
Name:
Address:
Citv/StaleziD:
Email: