1591 Park Rd - CUP ApplicationCOMMUNITY DEVELOPMENT DEPARTMENT
Planning Division — 7700 Market Boulevard OF
Mailing Address — P.O. Box 147, Chanhassen, MN 55317 CITY
Phone: (952) 227-1100 / Fax: (952) 227-1110
APPLICATION FOR DEVELOPMENT REVIEW
Submittal Date:
PC Date:
CC Date;
60-Day Review Date:
(Refer to the appropriate Application Checklist for required submittal information that must accompany this application)
❑ Comprehensive Plan Amendment ........................a $600
❑ Conditional Use Permit (CUP)
❑ Single -Family Residence ................................ $325
R All Others............... .......................................... $500
❑ Interim Use Permit (IUP)
❑ In conjunction with Single -Family Residence.. $325
❑ All Others......................................................... $500
❑ Rezoning (REZ)
❑ Planned Unit Development (PUD) .................. $750
❑ Minor Amendment to existing PUD ................. $100
❑ All Others. a 9 0 0 0 0 a 0 0 0 9 a 2 a & d a a t 0 0 9 a a a t a a a a a a 0 0 a 0 9 0 a a a a a a a F a 0 F 0 0 F a a V 0$500
❑ Sign Plan Review ................................................... $150
❑ Subdivision (SUB)
❑ Create 3 lots or less ........................................ $500
❑ Create over 3 lots .......................$1000 + $15 per k
( lots)
❑ Metes & Bounds (2 lots). 0 0 a 0 0 0 B a I a 0 a a 0 VFVoo*oo****ooffi&ffiffio$300
❑ Consolidate Lots..............................................$150
❑ Administrative Subd. (Line Adjustment)..........$150
❑ Final Plat + $15 per lot .................................. $700*
*(Includes $450 escrow for attorney costs)
*Additional escrow may be required for other applications
through the development contract.
❑ Vacation of Easements/Right-of-way (VAC)........ $300
(Additional recording fees may apply)
❑ Variance (VAR) .................................................... $200
❑ Site Plan Review (SPR) ❑ Wetland Alteration Permit (WAP)
❑ Administrative.of* ......................... Eta ...... Est* .... ago a $100 ❑ Single -Family Residence............................... $150
❑ Commercial/Industrial Districts* $500 ❑ All Others. ...................................................... $275
......................
Plus $10 per 1,000 square feet of building area:
( thousand square feet) ❑ Appeal of Administrative Decision ........................ $200
*Include number of existing employees: Zoning Ordinance Amendment ZOA 500
*Include number of new employees: ❑ g ( )g•1••*•••••••••••$
❑ Residential Districts ......................................... $500
Plus $5 per dwelling unit ( units)
NOTE: When multiple applications are processed concurrently, the appropriate fee shall be charged for each application.
Notification Sign (City to install and remove)...................................................................................................................... $200
� Property Owners' List within 500' (City to generate after pre -application meeting) .................................................. $3 per address
(97 addresses)
❑ Escrow for Recording Documents (check all that apply) ........................................ $ per document
2 Conditional Use Permit - $50 ❑ Interim Use Permit $50 ® Site Plan Agreement - $85
❑ Wetland Alteration Permit - $50 ❑ Easements (_ easements) $85 Vacation - $85
❑ Variance - $50 ❑ Metes & Bounds Sub (2 deeds) $250 ❑ Deeds - $100
TOTAL FEE:
Description of Proposal:
Property Address or Location:
Parcel #:Toms
1591 Park Road
Legal Description:
Total Acreage: 5.2 acres Wetlands Present?
Present Zoning:
Present Land Use Designation: Office Industrial
Existing Use of Property: Office Industrial
� Check box if separate narrative is attached.
❑ Yes ❑■ No
Requested Zoning: NA
Requested Land Use Designation:
APPLICANT OTHER THAN PROPERTY OWNER: In signing this application, I, 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. If 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 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:
Address:
City/State/Zip:
Email:
Signature:
Contact:
Phone:
Cell:
Fax:
Date:
PROPERTY OWNER: In signing this application, I, 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 certify that the information and exhibits submitted are true and correct.
Address:�--
°,-°
City/State/Zip
.. v
Email <" .
Signature:
Contact a `�-
Phone:
Cell:
Fax:
Date: , 1 Z_
This application musf 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, 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.
PROJECT ENGINEER (if applicable)
Name: Moore Engineering, Inc.
Address:
City/State/Zip:
Email: tom.goodrum@mooreengineeringinc.com
Who should receive copies of staff reports?
❑ Property Owner
❑ Applicant
❑ Engineer
❑ Other*
contact: Tom Goodrum
Phone: 612-699-0428
Cell: 612-791-6337
Fax:
*Other Contact Information:
Email Name:
Email Address:
Emalltom.goodrum@mooreengineeringinc.com City/State/Zip:
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 processing0