Application for Development Review 23-12-12
Section 1: Application Type (check al! that apply)
60-Day Review Date:
(Refer to the appropiate Application Checklist for required submittal information that must accompany this application)
p CorRr"hensive Plan Amendment......... $600 I E Subdivision (SUB)
E Create 3 lots or less
f] Create over 3 lots...n Conditional Use Permit (CUP)
E Single-Family Residence .....
n Rttothers........
E lnterim Use Permit (lUP)
I Rezoning (REZ)
I Planned Unit Development (PUD).
I Minor Amendment to existing PUD
f] tn conjunction with Single-Family Residence..$325
E ntothers.......... $500
fl Rdministrative Subd. (Line Adjustment)..........$150
! final P1s1+ $15 per lot $700**(lncludes $450 escrow for attorney 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)
...... ...$150 E Variance (VAR).....$200
$1 00
$500
E Wetland Alteration Permit (WAP)
E Single-Family Residence......E Atothers
E Appeal of Administrative Decision...............
! Zoning Ordinance Amendment (ZOA)........
... $200 o
$ per document
Site Plan Agreement - $85
Vacation - $85
Deeds - $100
TOTAL FEE:
$325
$500
$750
$1 00
$500
! tvtetes & Bounds (2 lots).
E Consolidate Lots.............
$500
......$1000 + $15 per
$300
$150
..... $150
..... $27s
..... $200
..... $500
(_ lots)
E Att others..............
E Sign Plan Review
E Site Plan Review (SPR)
I Rdministrative
E Commercial/lndustrial Districts*......
Plus $10 per 1 ,000 square feet of building area:
(_ thousand square feet)
*lnclude number of existinq employees:*lnclude number of 4eg employees:
N
F
! Residential Districts $500
Plus $5 per dwelling unit units)
NO[!: When multiple applications are processed concurrenily, the appropriate fee shall be charged for each application.
Notification Sign lcity to install and remove) ..
Property Owners' List within 500' lcity to generate after pre-application meeting) ....
DC;J dresses)
E Escrow for Recording Documents (check allthat apply).........
E Conditional Use Permit - $50 E lnterim Use Permit $50 tr
E Wetland Alteration Permit - $50 E Easements ( easements)$85 tr
E Variance - $50 fltvtetes & Bounds Sub (2 deeds) $250 n
COMMUNITY DEVELOPMENT DEPARTMENT
Planning Division -7700 Market Boulevard
Mailing Address - P.O. Box 147 , Chanhassen, MN 55317
Phone: (952)227-1100 / Fax: (952)227-1110 *crTYorcuAtlttAssrtt
APPLICATION FOR DEVELOPMENT REVIEW
Section 2 uired lnformation
Description of Proposal
Property Address or Location
Parcel#:
TotalAcreage:
Present Zoning
Present Land Use Designation
Existing Use of Property:
Check box if separate narrative is
O
Legal Description
Wetlands Present? E Yes E tlo
Requested Zoning
Land Use nation:rr
submiftar ,^r", hltql>\ pcDate: (f/ZO/,13 ccDate: -lli,alll
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 legalcapacity 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 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. 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 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 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. I
Name:
City/State/Zip
that the info n d bmitted are true and correct.
Fax:
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PROJECT ENGINEER (if applicable)
Name:
Address:
Contact:
Phone:
City/State/Zip
Email:
Cell:
Fax:
in full and be typewritten or clearly printed and must be accompanied by all
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.
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 application must be compl
information and plans required
Section 4: Notification !nformation
Who should receive copies of staff reports?*Other Contact lnformation :
! Property Owner Emai Name:Applicant Email Address
Engineer Email City/State/Zip
Other*Email Email
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
copy to the city for processing.