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Application Planning Case No. !dl'05 CITY OF CHANHASSEN 7700 Market Boulevard - P.O. Box 147 Chanhassen, MN 55317 - (952) 227 -1100 DEVELOPMENT REVIEW APPLICATION PLEASE PRINT Applicant Name and Address: Property Owner Name and Address: Peter- 12oc 4 e1ord 6vl d sic' T 1..1 S. `iho► o�n 6 7ft 1-0 - his T,-+a / 61S0 LotusTr■ 614 tasfen MA/ Givinhascerl »I/1/ Contact: Contact: Phone((v475/ -4804 Fax: Phone:61D. -Lilt-I-012.2 Fax: Email: re,firvc.k.64inc. con, Email: l isa pv1919 @ g weal . com NOTE: Consultation with City staff is required prior to submittal, including review of development plans Comprehensive Plan Amendment Temporary Sales Permit Conditional Use Permit (CUP) Vacation of Right -of- Way /Easements (VAC) (Additional recording fees may apply) Interim Use Permit (IUP) X Variance (VAR) 2 °0 Non - conforming Use Permit Wetland Alteration Permit (WAP) Planned Unit Development* Zoning Appeal Rezoning Zoning Ordinance Amendment Sign Permits Notification Sign — $200 Sign Plan Review (City to install and remove) X Escrow for Filing Fee Asyu rney Cost ** Site Plan Review (SPR)* - $50 CUP /SPRNAC A: ' AP /Metes & Bounds - $450 Minor SUB n Subdivision* TOTAL FEE $ / 5 V. Pc1 CK. ` `k 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 81/2" 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: f ri V'c.Auay Gbi? 1 Yet y LOCATION: 1.780 LOT'S Tr12,7 CII&.n h, ssekl LEGAL DESCRIPTION AND PID: SAC. Oi -7Z p lib -el 023 (' i,-ver 6PACii L+S 2017, 2olRr 2019 t 7-oc 3 , 2051 -aDS 016:401580 0/580 23 /A21/59 TOTAL ACREAGE: /9r U7 O WETLANDS PRESENT: YES X NO PRESENT ZONING: £S 1 REQUESTED ZONING: /25F PRESENT LAND USE DESIGNATION: 5 eye. AIM l�y REQUESTED LAND USE DESIGNATION: S 6d1Ct!-C dam r REASON FOR REQUEST: toe. ace._ v veSvr h4 ^ o/r6 jJe4J ,yd Qr/Q e � k q � 9 � 5 c,f0 re- ovt -eve peooeify. The_ se ✓eee_ sieve o oyr CVir veiva I`s a fa 7 e-l haza✓d � se ✓ere. eod f o v r• o i our /o / ita,�Ps , dr' if I 0 add 1`0 oar c v r r dr •©v /red - afrows' . � 1 i e I er Slat e4 f e- 5 tee 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 Y q g q PP P Y P Y 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. / 0/12 7 /59— Signature of Applicant • 11115k 4147 l gnature of Fey •wner D e g: \plan\forms \development review application.doc