ApplicationApplicant Name
CITY OF CHANHASSEN
7700 Market Boulevard - P.O. Box 147
Chanhassen, MN 55317 - (952) 227 -1100
DEVELOPMENT REVIEW APPLICATION
Phone:y6L•22Y -fiay7 Fax:95;z_% Tcazti.
Email: B- Rig -darn
Planning Case No,:9613 — I cl
CITY OF CHANHASSEN
RECEIVED
AUG 0 2 2013
CHANHASSEN PLANNING DEPT
Property Owner Name and Address:
` Ili JI) �. SI i4-
.S--7y4
Contact: Ler) Sfnith CE-D
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
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 re e)
X E w for Fili Fees /Attorney Cost ** 01 4 O�
Site Plan Review (SPR)* 150Q 4<6X39 i l 9 U SP AC/VARANAP /Metes & Bounds
� $450�1 orSU6
V Subdivision* (oOC>4 39) 1)g$ LTO:TAL FEE $ t dt.. C i �rC's U
ri1na1 Teti# R
An additional fee of $3.00 p adtress within -the public hearing notification area w1fl-be4evoiced # mtiT2 ticant
prior-to4he, public hearing. }
i
*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: _50blC14-W &K VILLA-&& xy'b OIDOVrtQvV
LOCATION:
LEGAL DESCRIPTION AND.PID:
pin fd - 2X76 BOO. f�
TOTALACREAGE:; Z -.75' Ore.
WETLANDS PRESENT: YES NO
PRESENT ZONING: Ply
REQUESTED ZONING:. PKD
PRESENT LAND USE DESIGNATION: rr40
REQUESTED LAND USE DESIGNATION A-5101 4,T4L
REASON FOR REQUEST: S 11ACdtilt7+Lt /✓AIYL� f/uf%.
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 dialled to the applicant within 15 business days of application,
This Is to cartify hat 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 pparty whom
the City should contact regarding any matter pertalning 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 appligatiomand 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;
,.,✓G� fn�:.�li L?L�ifAu�r�f��� 7 �G�13
Slgnatury Heart %Date
Signet M f Fee owner a�'fe -
8APIA fo `$ WoJolopitiulfezlcwapplim(ion.doc