ApplicationPlanning Case No .�01 I - Q9
CITY OF CHANHASSEN
7700 Market Boulevard — P.O. Box 147
Chanhassen, MN 55317 — (952) 227 -1100
DEVELOPMENT REVIEW APPLICATION
PLEASE PRINT
Applicant N me and Address:
t e — L T. r-j k
S-F
AN k1 A V "
Contact:
Phone: !! 7 ¢- ! Llf Fax: j 54 M
Email:
Property Owner Name and Address:
Contact:
Phone: Fax:
Email:
NOTE Consultation with City staff is required prior to submittal, including review of development
plans
Comprehensive Plan Amendment
Conditional Use Permit (CUP)
Interim Use Permit (IUP)
Non - conforming Use Permit
Planned Unit Development*
Rezoning
Sign Permits
Sign Plan Review
Site Plan Review (SPR)*
Subdivision*
Temporary Sales Permit
Vacation of Right -of- Way /Easements (VAC)
(Additional recording fees may apply)
Variance (VAR) � -
Wetland Alteration Permit (WAP)
Zoning Appeal
Zoning Ordinance Amendment
_ Notification Sign -$200
(City to install and remove)
X for Filing Fees/ rney Cost **
$50 UP /SPRNAC/ A IAP /Metes & Bounds
- $450 Minor SUB
TOTAL FEE $ ` 5 22 C :-
An additional fee of $3.00 per address within the public hearing notification area will be invoiced to the applicant
prior to the public hearing.
*Five (5) full -size folded copies of the plans must be submitted, including an 8'/2" X 11" reduced
copy for each plan sheet along with a digital copy in TIFF -Group 4 ( *.tif) format.
* *Escrow will be required for other applications through the development contract.
Building material samples must be submitted with site plan reviews.
NOTE: When multiple applications are processed, the appropriate fee shall be charged for
each application.
PROJECT NAME:
LOCATION:
n4 gr ,
,a 'v h 0A sse V
LEGAL DESC RIPTION - x•71_ _ Kf=lM.AAQ. _' !i
TOTAL ACREAGE: l tk to r I
WETLANDS PRESENT: YES
PRESENT ZONING:
REQUESTED ZONING:
NO
PRESENT LAND USE DESIGNATION: U i9S C ^ FA P_ m " I A R to ' tj r�
REQUESTED LAND USE DESIGNATION: SA C
REASON FOR REQUEST: ' !o Uf 1..� 100 ' 14- 0 ' 4
—O M A6 , tl i A)& AV `'c, SVd R A
FOR SITE PLAN REVIEW: Include number of existing employees: N /A and new employees: N / /4
This application must 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, you should confer with the
Planning Department to determine the specific ordinance and procedural requirements applicable to your application.
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 is to certify that I am making application for the described action by the City and that I am responsible for complying with
all City requirements with regard to this request. 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 have attached a copy of proof of ownership
(either copy of Owner's Duplicate Certificate of Title, Abstract of Title or purchase agreement), or I am the authorized person
to make this application and the fee owner has also signed 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. The documents and information I have submitted are true and correct to the best of
my knowledge.
` 00 j
Signature of Ap lic nt Vate
Signature of Fee Owner Date
gAplanWorms \development review application.doc
TAXPAYER SERVICES DEPARTMENT
Laurie Engelen, Manager
600 East 4th Street, P.0. Box 69
Chaska, MN. 55318 -0069
952 - 361 -1910 • wwW.co.carver.mn.us
For the fallowing online services visit our website at:.
www .Co ca— rve— rmn us
•Pay your taxes online
• Sign up for our Tax Payment Reminder
Property ID #: 25.0100900
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Taxpayer: MICHAEL J GORRA V ✓rW -C�_
1680 W 78TH ST
CHANHASSEN MN 55317 -4503.
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Bin #: 297120
Properly Acres 126.46
Section 10 Township 116 Range 023
Desc: SE11 /4 EXC: P/O GOVT LOT 3 DESC AS: COMM AT SE CORN TH W ON S LINE 556' TH N
PARALLEL WITH E LINE 593.2' TH DEFL. RT 62 +OR- TO CENTER OF CREEK TH ELY
ALONG CENTER OF CREEK TO E LINE TH S ON E LINE TO PT OF BEG & EXC: +w 5 R.O -W
& EXC P -217 MNDOT H
PAYABLE 2011 2nd HALF PAYMENT STUB
TO AVOID PENALTY PAY ON OR BEFORE: November 15
Property ID #: 25.0100900
Read the back of this statement to
find out how to apply.
A copy of your tax statement can be priafed from our website..
To pay online go to- www.co,carvermn.us ,
The online payment feature is available for a current year tax payment.
Delinquent payments cannot be paid online.
PLEASE INDICATE YOUR ADDRESS CORRECTION
ON REVERSE SIDE OF THIS PAYMENT STUB.
5,11 7.00
Bill M 297120 PENALTY: TOTAL:
Taxpayer: Make checks payable to and remit to: 6 m
MICHAEL J GORRA –T
Carver County m
16$0 W 78TH ST P.O. Box 69 o
CHANHASSEN MN 55317 -4503 Chaska, MN 55318 -0069 ° m
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0 2 2 011 2 50100 900 0 0 0 5 11 7 0 0 4 Postdated checks are not held. Only u.S. Postmark determines payment maildate. m Co
Y Property ID # on your check. y
No receipt sent unless requested and is void until check is honored. Manufactured Horne
taxes of $50:00 or less and Real Estate taxes of $100.00 or less must be paid in f, m
REFUNDS?
$$$ You may be eli ible far one or even two
refunds to reguce your property tax.