Application Planning Case No. 1a- No
CITY OF CHANHASSEN •ee 6lsot 6S- t t
7700 Market Boulevard — P.O. Box 147 CITY OF CHANHASSEN
Chanhassen, MN 55317 — (952) 227 -1100 RECEIVED
DEVELOPMENT REVIEW APPLICATION
MAY 042012
CHANHASSEN PLANNING DEPT
PLEASE PRINT
Applicant Name a@d Address: Pro•erty Owner Name and Address:
Contact: • 51 Contact: k mac
PhoneW Lfax: Phone: - 2 5 R; I4x:
Email: - c�s..�� ��'S QU (11 l ac k)c s cj
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) Variance (VAR)
Non - conforming Use Permit Wetland Alteration Permit (WAP)
Planned Unit Development* Zoning Appeal
Rezoning Zoning Ordinance Amendment
Sign Permits `
V Notification Sign $200
Sign Plan Review (City to install and remove)
V y O 00c. ' 1',4.o0 X Escrow for Filing Fees /Attorney Cost **
Site Plan Review (SPR)* sov -k I c o at ") • UP /SPRNACNAR/VVAP /Metes & Bounds
- ', 450 Minor SUB
ot�
Subdivision* TOTAL FEE $ (= Al LK 1 � to r 1
� Doe) CC-
An additional fee of $3.00 per address within the public hearing notification area will be invoiced tcilhe 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.
PROJECT NAME: c , D-
LOCATION: '`\ -I- ' `c ��` 1 l‘) ,\NI
LEGAL DESCRIPTION AND PID: L i,`'Q..c�-cc:D - \0-C y4:;),-7,..Thc.9, D-`'b (95 -- C - 7 0 v 3- 0 (_ --o a- Z )0c k _ 1 t^r�' - �c otln ; a s I° 4e.s 6 lit �� j ff e&l
TOTAL ACREAGE: u ( i'Q__J
WETLANDS PRESENT: YES' NO
PRESENT ZONING: `\..JS )
REQUESTED ZONING:
PRESENT LAND USE DESIGNATION:" -<
REQUESTED LAND USE DESIGNATION: 1 '
REASON FOR REQUEST: ``•, \Z affi A de
r
��- PeAhrs ltd;, —
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 owrier 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 • .t additional fees may be charged for consulting fees, feasibility studies, etc. with an estimate prior to any
uthoriza on to . roceed with the study. The documents and information I have submitted are true and correct to the best of
y know -dge.
• S ∎: r u`-.` of ' . plica ' Date
,---, R.,- \ z_.
Sign . re 'Fee Owne Date
g: \plan \forms \development rev - w ape ication.doc