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ApplicationPlanning Case No.cXI6 —1.3 CITY OF CHANHASSEN 7700 Market Boulevard — P.O. Box 147 CITY OF CHANHASSEN Chanhassen, MN 55317 — (952) 227 -1100 RECEIVED DEVELOPMENT REVIEW APPLICATION MAY "17 2013 -HANHA SSFN pi eNNwn nee. Applicant Name and Address: Property Owner Name and Address: US {Ear (�P 4�r. A�R�4 Lenn4✓ P� Ctmar �n .ly 1 arms 163os 36' � *J C ,,(-L G &,o t4�1 Wit• �81s+ S +r �t „w.Y4 —2 0"^_j s_ggb 1 l�tni S tl — Conact: .Toe �Tu�lcws4a Contact: -6rL. ce -SPLxr1'�= Phone: 9t7- 2gy-3o,4 Fax: Phone: Fax: Email, ro�.j< 4e�,zPw. Email: NOTE: Consultation with City staff is required prior to submittal, including review of development plans Comprehensive Plan Amendment Conditional Use Permit (CUP) 445 Interim Use Permit (IUP) Non - conforming Use Permit Planned Unit Development" Rezoning Sign Permits Sign Plan Review Site Plan Review (SPR)" Subdivision` Loo t CI b x 6o) A� o U Temporary Sales Permit Vacation of Right -of- Way /Easements (VAC) (Additional recording fees may appty) Variance (VAR) Wetland Alteration Permit (WAP) Zoning Appeal Zoning Ordinance Amendment Notification Sign —$200 (City to install and remove) X Escro Filing Fees/Attomey Cost " 5v U SPRNACNAR/WAP /Metes & Bounds - $450 Minor SUB TOTAL FEE $ An additional fee of $3.00 per address within the public hearing notification area will be invoiced to the applicant prior to the public hearing. J `Five (5) full -size folded copies of the plans must be submitted, including an 8' /2" X 11" reduced copy for each plan sheet along with a digital copy in TIFF -Group 4 ( *.tif) format. "Escrow will be required for other applications through the development contract. Building material samples must be submitted with site plan reviews. NOTE: When multiple applications are processed, the appropriate fee shall be charged for each application. PROJECT NAME: _ Camden 1 \ Cl `e, —'t^ LOCATION: A$T Of f3 1✓FF Cr e'L- -- R .o ISW LEGAL DESCRIPTION ANDPID: Z5TO23Z30C:' 6)L -6 -T' 11 le 9 TOTAL ACREAGE: ?.S7' G WETLANDS PRESENT: _YES NO PRESENT ZONING: ,A a REQUESTED ZONING: i POD- l PRESENT LAND USE DESIGNATION: REQUESTED LAND USE DESIGNATION: f- eti,i.Ertr.eaTs REASON FOR REQUEST: - 1&419 FOR SITE PLAN REVIEW: Include number of existing employees: and new employees This application must be completed in full and be typewritten or dearly 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 1 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 Owners 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 4nnwlwina ' F;Vw fa \developm t review applicationdm S- -/7 - 7imi3 Date Date