ApplicationPlanning Case N o. c70Q, —G
PLEASE PRINT
CITY OF CHANHASSEN
RECEIVED
JAN 0 6 2012
CHANHASSEN PLANNING DEPT
Applicant Name and Address:
��1f v- 1 L. L G
A0 5 C ouk Gr LV u c_ S
C..Aav'Ql QA'Q%C.YX . M 5 5 2 l a.
Contact: R m C_�- r \ vh CA. Yl
Phone: '/74 f$;. S' Fax: yi;Ly YV A 6.
Email: brne_ v v , %w,e4v�CLev%kecnw,ncv,.
Property Owner Name and Address:
L. \C ;'-R L. W In: c i M
5320 West w r V IMC.Se C 4 .10
Ve-vy, F L 3 T 9 6 - +
Contact: C_V-P %�-& L. Wh4c.- \,kI
Phone: 43A 504 0030 Fax: sow• -c.
Email: N to
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
X Site Plan Review (SPR)* -5W + 100
Subdivision* + � 1 5 0
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 Escrow for Filin Fees /Attorney Cost**
$_ )9UP/AC/VAR/WAP /Metes & Bounds
-
X50 Minor SUB )
TOTAL FEE $ ! 1 1 DV . Pj CY 4
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'/Z" 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.
CITY OF CHANHASSEN
7700 Market Boulevard - P.O. Box 147
Chanhassen, MN 55317 - (952) 227 -1100
DEVELOPMENT REVIEW APPLICATION
PROJECT NAME: 2O
LOCATION: So Lj c c - � �g��. S�•r� �
LEGAL DESCRIPTION AND PID: S cc_ &.n %_SSq _rV.4.0A S
2�6g�ooao 2568 (,*oc) 10
TOTAL ACREAGE:
WETLANDS PRESENT: X YES NO
PRESENTZONING: 4�g %vjc V 0.yd. so% SGWV��r'S %, % !.&
REQUESTED ZONING: Q0
PRESENT LAND USE DESIGNATION:
REQUESTED LAND USE DESIGNATION: No
`
REASON FOR REQUEST: d_c..`1 C_WAIZ VCA�GV1
FOR SITE PLAN REVIEW. Include number of existing employees: and new employees: W
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 speck 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.
Z- de /';L'
plicant Date
Signature of Fee Owner Date
gAplanWorms \development review application.doc
MAY -16 -1900 04:2e P.02
PROJECTNAME: Sb Ws•N
LOCATIom So 6kcAr
L EGAL DESCRIPTION AND PID: C �_.�.• ,• � ► r1 � Q �, y ,�,� : o ll6 Raw.a i d��0.459�1 T V lt '�,_,,,
TOTALACRUAGS;
WETLANDS PRESENT: X Yes No
PREt3ENTZONING: W.1. Av�► �u��r►�S Se�rV�tie.a+�. Q.��r:a_'�
REauESTID DONINO: Nw �`G M
PRESENT LAND USE DESIGNATION:
REQUE-9 Q LAND USE DESIGNATION: Ne
REMON FOR REQUEST' lAttA3 g OW&CLASA Wh
FOR SITE PLAN REVIENk Indude rwmber Of end WV eMabfreus: and now wrobyass: 10
TAts appiod w "vjd br aplrpiNld In ful< and be typewrlflan or deafly prinlod and must be awwnpwA d by all tM*WOWn
srb Plan mpgMd by b Cfty Ord"nce prwlslons. essbr. MM ltds applloWon. you should confler wfth me
Planrrinp DspatQt'tant !� deMrmine ttb tpsdffc ordtnaa►oe artd Procadutrl nrrqudanrerid applb�rNr b YOUr drppfioation.
A detemMnefon d aanpletg gap d tee spplicatlor+ at" be made vmn 15 businew days of epplmdvn wAn*W. A wrimen
nOtiCrs of apputafjon dskbndas shad be hushed to fhv applicant withln td business days of sppiiaation.
Thin b b cw* Ih* t am maklnp ap�plicaor+ for 1hs desoibed solo by fhe Coy and +tit 1 w" nr0oruskls for oom*np with
e! f reglisernertlt b bo f>frie r'e0��est. This Wp + Mould be of C oa sad h my name and I ern the parttr w hom
are C� atwuld oocd.al paaardlrtp any nt■tla peratrunq b lhio ' 1 h" altaehea a copy or pmd of owwww*
a taa also afp d d T . M o ag-mI or 1 ann Ina wtMnriad pe+s«+
I wM keep myself 1,,ro,rted of We d for subrt nbn of rrrate and Ina PMpresa d thls apppat lip 1 furjw
undsrpion #* addillmi l ties mar be chsrysd for OMWOrq Ikea. Naetbigd► studw. etc. with an *Wmsle prbr to any
eu#wrdra8on b proceed wM ate @L*. The dowments and hownw or► I hoe submiOad are" aid wmt:t tv Ine bast of
my knowledge.
W� of Apprksm Oft
Wiftue is Fee 5; 7 170 A 1 [A! A; fe;.; !� Dee
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