Application for Development Review 23-03-03
COTMUN|TY DEVELOPMENT DEPART ET{T
Planning Division - 7700 Market Boulevad
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-110O/ Fax: (952) 227-1110
Subrnittal Date
*cnlorcnAttuAssrtt
APPLICATION FOR DEVELOPMENT REVIEW
b PC Clate:a CC Date:)3 6GDay Rwieiv Oate:
(Reter to the afirlpdate Adtcs,io,l Cher;Hisf lq Bquhd sub/,l,ital tufomsiiott tH mui a@,npely this af,icatln)
n Comprehensive Plan Amendment......................... $600
E Conditional Use Permit (CUP)
E Single-Family Residence ...................-........... $325! rut ohers....... ..................... $500
E Subdivision (SuB)
! Create 3 lots or |ess........................................$300E Create over 3 |ots.......................$600 + $15 per lot( lots)E lvhtes & Bor.rnds (2 lob)..................................S3fi)
! Consolidato 1ob..............................................$150tr'lnterim Use Permit (lUP)
$325
ss00
fl eOminisraWe Subd. (Line Adjustsnent).........I ln conjunction with Single-Family Residence..
Eirut ourers......E Final Plat + $15 p€r lot
.$150
s700'
f| Rezoning (REZ)E Planned Unit Development (PUD) .
! Minor Amendment to existing PUDI att ourers
E Sign Plan Review................................................... $150
I Site Pbn neuew (SPR)
fl Administrative ..................... $100E Commerciaulndus&ial Districts'...................... $500
'lndude number of 9!E!49 qnployees:
'lndude number of 49!! employ€€s:
tr Metes & Bounds SuMivision (2 deeds)
"'"I:,1';tff;l'3f;fffS,y"0rc"""' n zoninsAppsar
'(lndudes $450 escrow for attomey costs)
'Additbnal esdw rnay ba Equir€d lo. dl6 apdication8
thrcWh ttE &vsbpl,loot cortract.
! Vacation of Eas6ments/Right-of{^,ay (VAC)........ $300
(Additiimal ,ocording fees rtay apdy)
I Variance (VAR)$200
$150
$275
$200
$s00
D Wetland Alteration Permit (WAP)
! Single-FamilyResilenceE ntt ottrers
n Zoning Ordinance Amendment (ZOA)
s750
$100
$500
El Residential Disricts......................................... $500
Plus $5 per dwelling unit ( units)
p Homou- siln (cly to l.Etd dd srove)..........--.............'... $200
n Property Owners' List within 500' (city to generate after prB-application rneetihg) .......
v Escrow for Recording Ooalments (check all that
E Conditional Use Permit Permit
tr Vacation
?\addresses)
$3 per address
$50 per document,d
! Site Plan Agreement
! Wetland Afteration Permit
Easements ( easements) ! OeeOs
TOTAL FEE:
Section 1: Application Type (check all that apply)
Section 2: Required lnformation
Description of Proposal:
Property Address or Location:AJE llL.-zt-LL
Parcel #:15tq1 DZqo
Total Acreage:15 ,to Wetlands Present?.L tng:
Present Land Use Designation , Qu ta) b4,"iL Requested Land Use Designation:
Existing Use of Property:
[f Cnect uox it separate narrative is attacfi
H Erh,(<rLegal Description:
Present Zoning:
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, sub.iect only to
the right to object at the hearings on the application or during the app€al p€riod. lf this application has not beon signod by
the proporty owner, I hav6 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 p€rtaining to this
application. I will keep mysetf informod of the deadlines for submission of material and the progress of this application. I
furthor undersiand 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 certiry that the information and exhibits submitted are true and conecl.
Contact
Phone:
Cell:
Fax:
Date:
PROPERTY OWNER: ln signing this application, l, as property owner, hav6 full l6gal 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, subiect only to the right to obiect 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
b€ charged for consulting fe€s, feasibility studies, etc. with an estimate prior to any authorization to proceed with the
study. I certiry that the information and exhibits submitted are lrue and conect.
Name:Contact:
Phone:Address a6ll N an &o \ ,.- -r. lr L a rt{.At 2 -a63 - 6'' 1r
Cityistatezip:Cell:
Fax:Email:t(
Signature:Oate:
PRoJECTE+l€ill{Ensfth{i}#b)
Name Contact:
Lt't"?8L's+tlL
City/State/Zip:Cell
FaxEmail€L
VUho should receive copies of staff reports?'Other Contact lnformatlon:
El Pmp€rty Own€rE Applicant
El EngineerpOtrer
Email tcrl^,, ^,t/, a l e lc(t',/^.t
Email
Name:
Address
Ema City/Statezip:
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.
This application must be completed in full and be typewritten or clearly printed and must be accompanied by all
information and plans required by applicablo City Ordinance provisions. Before filing this apdication, refer to the
appropriate Application Checklist and conf€r with the Planning Deparunent to determine the sp€cific ordinance and
applicabl€ procedural roquiroments.
A determination of completeness of the application shall b€ made within 15 business days of apdication submittal. A
wriften notice of application deficiencies shall be mailed to the applicant within 15 business days of application.
copy to the city for processing.
SUBMIT FORM to send a digital
No*.
Address:
crty'/statozip:
E-oil.
Signatur€:
l.1.,-- btVl-t1 ??
Addr6ss: Phone:
Section4: Notification lnformation