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Application
CrrY OF C HANHASSEN RECEIVED CITY OF CHANHASSEN APR ' 2013 7700 Market Boulevard — P.O. Box 147 Chanhassen, MN 55317 — (952) 2&-"6W PLANNING DEPT DEVELOPMENT REVIEW APPLICATION Planning Case No. 013 lo-p- S-0-, Atso aol? -ate ( Cy'c elA ibis NLtASt NKIN I Applicant Name and Address: J g� S t�cn�u 1 , I •0c . H SO Knob N -1 t Lane S_ xcelsior - , MN 5 Contact: 3a�,n Kno6loLuc1 -L Phone: L4 Fax:9sz- 4�y -D313 Email: J - Kno bsta KaA1c-.ucll9u)_3emc Cell (0 12- clgo - 4sgv Property Owner Name and Address: C h e 5+n L)+ LL C Q© Gcx (- V kQ ! 1V SS3) S Contact: Phone: Fax: Email -- - - -- NOTE Consultation with City staff is required prior to submittal, including review of development plans X Comprehensive Plan Amendment 1 Temporary Sales Permit Conditional Use Permit (CUP) Vacation of Right -of- Way /Easements (VAC) (AddlUonal recording fees may apply) Interim Use Permit (IUP) X Variance (VAR) 2-00 Non- conforming Use Permit X Wetland Alteration Permit (WAP) x ' X Planned Uni evelopment* -' 50 Zoning Appeal - x Rezoning Zoning Ordinance Amendment Sign Permits Sign Plan Review X Site Plan Review (SPR) *6Q0 +(S-1 it.) =80 A Subdivision* 600 1(0) : , Notification Sign - $Qee- W k_ (City to install and remove) X Escrow for,F' ' Fees/ or ost ** - $50 CUP( UP ` AC/' lk AP etes & Bounds 450 Mino OUUB TOTAL_ FEE T, a,9q 4 5 COW 4OS °.! An additional fee of $3.00 per addre within the public hearing notification area will be invoiced to the applicant prior to the public hearing. Wd, r: . °° , :, ( 6cJ *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: T he Prese sA R , I- Q Y, 2 LOCATION: A kct n ' 1 0( LEGAL DESCRIPTION AND PID: S ee eLAc c CtecJ 1. �cta,) 2sC T i o C1 z s' - C )z4z610 TOTAL ACREAGE: l 3 • z 3 PC WETLANDS PRESENT: >� YES NO PRESENT ZONING: R s F - W REQUESTED ZONING: P u - PRESENT LAND USE DESIGNATION: e rl+,, cx o w e n s i4v REQUESTED LAND USE DESIGNATION: _rn;,K ©� ��s . Low ns��v 0.nd �e5• V`lrea Dzr tsr�� REASON FOR REQUEST: De v e 1042 1 e - r•14 C l6 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. Sdl I! t - C IK,� � � 1- / // ? 11 ature of Applisa 15 ate q - � Si attire of Fee er I C y S vvp 1 , Date gAplan\forms\development review application.doc