ApplicationAPPLICANT: ~ ~, ~ ~-h~-~
ADDRESS:
TELEPHONE (Day Time)
CITY OF CHANHASSEN
7700 MARKET BOULEVARD
CHANHASSEN, MN 55317
(952) 227-1100
DEVELOPMENT REVIEW APPLICATION
CiTY OF CHANHASSEN
RECEIVED
JUN 2 9 7.004.
CHANHASSEN PLANNING DEPT
OWNER: ~/")~ T.i-H.E~j ~' ~,JZ~.,4e_ ~,'W/oo~LE
ADDRESS: Gq N ~ L~k~ ¢c~-/ 'Oe.
C_. ¼ ~,- ¼.. ~,~ r,4~o 5-5-317
Comprehensive Plan Amendment
__ Temporary Sales Permit
Conditional Use Permit
Vacation of Right-of-Way/Easements
Interim Use Permit
Variance
__ Non-conforming Use Permit
Wetland Alteration Permit
Planned Unit Development*
__ Zoning Appeal
__ Rezoning
__ Zoning Ordinance Amendment
__ Sign Permits
__ Sign Plan Review
Site Plan Review*
Notification Sign
X
Escrow for Filing Fees/Attorney Cost**
- $50 CUP/SPR/VAC/VAR/WAP/Metes & Bounds
- $400 Minor SUB
__ Subdivision* TOTAL FEE $ '~O0.0 o
Mailing labels of all property owners within at least 500 feet of the boundaries of the property must be included
with the application -OR- the City can provide this list (Carver County properties only) for an additional fee to be
invoiced to the applicant.
If you would like the City to provide mailing labels, check this box [~
Building material samples must be submitted with site plan reviews.
*Twenty-six (26) full-size folded copies of the plans must be submitted, including an 8W' X 11" reduced copy for
each plan sheet.
**Escrow will be required for other applications through the development contract.
NOTE: When multiple applications are processed, the appropriate fee shall be charged for each application.
PROJECT NAME:
LOCATION: (~ '7 ff
LEGAL DESCRIPTION:
C¢7
TOTAL ACREAGE:
WETLANDS PRESENT:
PRESENT ZONING:
REQUESTED ZONING:
PRESENT LAND USE DESIGNATION: ~-',Q
REQUESTED LAND USE DESIGNATION:
REASON FOR REQUEST: C o ¢,,$4~
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 ten business days of application submittal. A written
notice of application deficiencies shall be mailed to the applicant within ten 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.
The city hereby notifies the applicant that if development review cannot be completed within 60 days due to public hearing
requirements and agency review, the ci~ requires an automatic 60-day extension for development review. Development
review shall be completed within 120 da' additional review extensions are approved by the applicant.
Signature of Applicant
Signature of Fee Owner
Date
Date
Application Receivedon ~/Z~/0%/
Fee Paid
Receipt No.
The applicant should contact staff for a copy of the staff report which will be available on Friday prior to the
meeting, If not contacted, a copy of the report will be mailed to the applicant's address.
G:~plan\forms\Development Review Application. DOC