ApplicationPlanning Case No. `-' ( O
PLEASE PRINT
CITY OF CHANHASSEN
RECEIVED
FEB 17 2012
CHANHASSEN PLANNING DEPT
Applicant Name and Address:
Shamrock Development
3200 Main Street Suite 300
Coon Rapids, Minnesota 55448
Contact: An Zajac
Phone: 763- 421 -3500 Fax: 763- 421 -1105
Email: azajac@!jhamrockcompanies.com
Property Owner Name and Address:
Wooddale Builders. Inc.
6109 Blue Circle Dr., #2000
Minnetonka, MN 55343
Contact: Steve Schwieters
Phone: 345 -0543 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)*
X Subdivision* -4- jo
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 E row for Filing Fees /Attorney Cost **
- $50 UP /SPR/VAC/VAR/WAP /Metes & Bounds
- 450 Minor
TOTAL FEE $ `� `,-� O � C� Ct a
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 %" 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: Lakeside 6th Addition
LOCATION:
Lake Riley Drive
LEGAL DESCRIPTION AND PID: outlot E, Lakeside and Outlot C Lakeside Third Addition
TOTAL ACREAGE:
1.5118 Acres
WETLANDS PRESENT:
PRESENT ZONING:
YES X NO
PURR
REQUESTED ZONING: PUDR
PRESENT LAND USE DESIGNATION: Residential High Density
REQUESTED LAND USE DESIGNATION: Residential High Density
REASON FOR REQUEST: Final Plat
FOR SITE PLAN REVIEW: Include number of existing employees:
and new employees:
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.
Oh a � nc.
2/16/2012
Siqhaturef Applicant jAimes M. Stanton, President Date
ale Builders
-2 )14
Signa ure o ner teven H. Schwieters, Presiden Da
& \planWomvs \development review application.doc