Application for Development Review 23-07Az-+4,4 t,,J
COMMUNITY DEVELOPMENT DEPARTMENT
Pfanning Division -7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227 -'ll 00 / Fax: 1952) 227 -1 1 10 CffiOFCIIAI{IIASSXN
APPLICATION FOR DEVELOPMENT REVIEW
submittare",". ll tlJ " 23 PC Date:E-lt:-L 5 cc Date: 6- iz- Zg 60-Day Review Da,ot 6' lr:23
Section 1: Application Type (check all that apply)
(Refer to the appropiate Applicatbn Checklist for requircd submittal information that must accompany this application)
I Rezoning (REZ)
I Planned Unit Development (PUD)
I Minor Amendment to existing PUD.................
n Comprehensive Plan Amendment......................... $600I Minor MUSA line for failing on-site sewers..... $100
E ConditionalUse Permit (CUP)n!Single-Family Residence
AllOthers.
............ $32s
............ $425
fl lnterim Use Permit (lUP)
trtr AllOthers...
ln conjunction with Single-Family Residence.. $325
... $425
trtrtr!
f] Variance
E Easements ( easements)
fl Suooivision (SUB)
Create 3lots or less ............ .........$300
Create over 3 1ots.......................$600 + $15 per lot( lots)
Metes & Bounds (2lots)........ .......$300
Consolidate Lots............ ............... $150
Lot Line Adjustment. ..$150
Final Plat.... ................ $700
(lncludes $450 escrow for attomey costs)*
'Additional escrow may be required for other applications
through the development contract.
E Vacation of Easements/Right-of-way (VAC)........ $300
(Additional recording fees may apply)
p variance (VAR)$2oo
E Wetland Alteration Permit (WAP)
E Single-Family Residence..............fl rutothers $275
n Zoning Appea|..........
n Zoning Ordinance Amendment (ZOA)
p!!: When multlple appllcadons are processed concununty,
the approprlab fee shall be charged for each appllcatlon.
..... $200
.... $3 per address( addresses)
E m others.
$7s0
$100
$5oo
E Sign Plan Review .............$150
E site Plan Review (SPR)
n ndministrative......... ...$100
I Commercial/lndustrial Districts* ... $500
Plus $10 per 1,000 square feet of building area:
t_ thousand square feet)
*lnclude number of existino employees:
'lnclude number of ryemployees:E Residential Districts ... $500
Plus $5 per dwelling unit ( units)
.............. $150
............... $200
......'..'.'... $500
@ tttotiRcation Sign (cityto installand remove)
[8r Property Owners' List within 500' (citv to generate after pre-application meeting)
F Escrow for Recording Documents (check all that
D Conditional Use Permit
n Vacation
E Metes & Bounds Subdivision (3 docs.)
Use Permit
6 per documenttrtrtr
Site Plan Agreement
Wetland Alteration Permit
Deeds
Section 2: Required lnformation
Description of Proposal:
hbtL
Property Address or Location , i57/ LoLt-Lr,aa U
Parcel#:Legal Description:
TotalAcreage:lB'-Wetlands Present? flVes E lVo
Present Zoning:select-One-z e e Sebet0ae 3 a,nn t
Requested Land Use Designation:S'eleet€ne
32l-.n*1at )atl
Present Land Use Designation:Select One
Existing Use of Propefi:
Knecf box if separate narrative is attached.
TOTAL FEE: _
Requested Zoning:
PRINT FORTI
INSTRUCTIONS TO APPLICANT: Complete all necessary form fields, 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
SAVE FORM SUBTIIT FORM
copy to the city for processing.
Section 3: Property Owner and Applicant lnformation
APPLICANT OTHER THAN PROPERTY OWNER: ln signing this application, l, 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 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 m)E6lf informed of lhe deadlines for submission of material and the progress of this application. I
further understjand that additional fees may be charged for consulting fe€s, feasibility studi6s, etc. with an estimate prior to
any authorization to proceed with the study. I certify that the information and exhibits submitted are true and correct
Name:Contact:
Phone:Address:
City/State/Zip
Email:
Cell:
Fax:
Signature Date:
PROPERTY 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
conditions, subject only to th€ right to object at the hearings or during the appeal periods. I will keep m)ls61f 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, feaslbility studies, elc. with an estimate prior to any authorization to proceed with the
study. I certify that the i and exhibits submitted are true and corect
ruName:
Address:
City/State/Zip
Email:
Signatu re:
PROJECT ENGINEER (if applicable)
Name:
Contact
pnone' 4*-4/4-b€ZZ
Cell:
Fax:
Date
Conlact:
Phone:
folf
-
Fax:
Address:
City/State/Zip
Email:
This application must be completed in full and must be accompanied by all information and plans requirod by
applicable City Ordinance provisions. Before filing this application, refer to the appropriate Application Checklist
and confer with the Planning Department to determine the specific ordinance and applicable procedural
requirements and fees.
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 th6 applicant within l5 business days of application.
Section 4: Notification lnformation
Property Own6r Via:f,emait I trlaiua Paper Copy Name:Applicant Via: E Email E UaiteO Paper Copy Address
I Engineer Via: E Email D Mailed Paper Copy
Efothef Via:EEmail E Mailed Pep€r copy
Who should receive copies of staff reports?'Other Contact lnformation:
7
C
Email: