Application for Development Review 23-17 Orchard Lane$2Q9
COMM UNITY DEVELOPMENT DEPARTM ENT
Planning Division -7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952)227-1100 / Fax: (952)227-1110 CITY OT CIIAI{HASSII'I
HJ#,APPLICATION FOR DEVELOPMENT REVIEW
PC Date: _ CC Date:6GDay Review Date: _Submiftal Date:
Section 1 ication Type (check allthat apply)
(Refer to the appropriate Application Checklist for required submittal information that must accompany this application)
E Comprehensive Plan Amendment............
E Minor MUSA line for failing on-site sewers...
fl Conditional Use Permit (CUP)
E Single-Family Residence.
E ggooivision (sUB)
trtr
Create 3 lots or less
Create over 3 lots .$600 + $15(_ lots)Rtr
Metes & Bounds (2 lots)
Consolidate Lots
Lot Line Adjustment..
FinalPlat.....
(lncludes $450 escrow for attorney costs)*
.Additional escrow may be required for other applications
E eltothers.........
! lnterim Use Permit (lUP)
$325
$425
tr!ln conjunction with Single-Family Residence.. $325
All Others.... ............. $425
trtr
Administrative .......... $100
Commercial/lndustrial Districts"$50o
$600
$100
through the development confact.
$750 ! Vacation of Easements/Right-of-way (VAC)........ $300
$100 (Additional recording fees may apply)
E Sign Plan Review ...........$150
E Site Plan Review (SPR)
n WettanO Alteration Permit (WAP)
trtr
Single-Fam ily Residence
AllOthers....
..$300
per lot
..$300
,. $150
,.$150
..$700
$1 50
$275
$100
$500
M,
Ei-
Plus $10 per 1,000 square feet of building area:(_ thousand square feet)
*lnclude number of g1g!49 employees:
'lnclude number of ryemployees:! Residential Districts $500
Plus $5 per dwelling unit (_ units)
Notification Sign (city to install and remove)
Property Owners' List within 500' (city to generate after pre-application meeting)
! Zoning Appeal........
! Zoning Ordinance Amendment (ZOA)
p[!: When multiple applications are processed concurrently,
the appropriate fee shall be charged for each application,
appry).......... 5.1-
E lnterim Use Permit
El Variance
fl Easements (- easements)
'4 x $3 per address
addresses
$50 per docum ent[l Escrow for Recording Documents (check all that
n Conditional Use Permit
E Vacation
E Metes & Bounds Subdivision (3 docs.)
nntr
Site Plan Agreement
Wetland Alteration Permit
Deeds
TOTAL FEE:
Section 2: Required Information
Description of Proposal:
Property
Parcel #:
Address or Location L
A dR
TotalAcreage:
Present Zoning
Present Land Use Desig nation: fg!"C O19
"
"r?
,-[ Ty't wetands Present?
. Select Onf
Y(L,-l
flyes N"
Requested Zoning Select One
Requested Land Use Designation:Select One
Existing Use of Property:Rn S ,[-ua^elr <-t
nCne* box if separate narrative is attached
)2D
t*l dD
<-
Legal Description:
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 myself informed of the deadlines for submission of material and the progress of this application. I
further understand that additionalfees may be charged for consulting fees, feasibility studies, etc. with an estimate prior to
any aulhorization to proceed with the study. lcertify that the information and exhibits submitted are true and correct.
Name:Contact:
Phone:Address:
City/State/Zip:
Email:
Signature
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
Cell:
Fax:
Date
study- I
Name:
certifvr)'
l( tr,,h *rcL"J1 r(KJN
that the information and exhibits submitted are true and correct.
Contact:
Address:
City/State/Zip:
Email:
Signature:
PROJECT ENGINEER (if applicable)
Name:
3 Cell:
Fax:
bt2-fn+*3bL7-
N[0il<
Date:/l-/4-ZZ-
Address:
Contact
Phone:
City/State/Zip:
Email:
Cell:
Fax:
This application must be completed in full and must be accompanied by all information and plans required by
applicable City Ordinance provisions. Before flling 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 the applicant within 15 business days of application.
Who should receive copies of staff reports?*Other Contact lnformation:
E Property owner Via: E Email
E Applicant Via: E EmailE Engineer Via: E Email
E other. Via: E Email
E Maited Paper copy
! rr/laiteo Paper copy
E Maileo Paper copy
E rrilaiteo Paper Copy
Name:
Address:
City/State/Zip:
Email:
INSTRUCTIONS TO APPLICANT: Com plete 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.
SAVE FORM PRINT FORM SUBMIT FORM
Ph^'o
-
Section 4: Notification lnformation