Application 10-15-04
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CITY OF CHANHASSEN
7700 MARKET BOULEVARD
CHANHASSEN, MN 55317
(952) 227-1100
DEVELOPMENT REVIEW APPLICATION
CITy OF C
REC~í'v~~SSEN
OCT 1 5 2004
CHANHI;SSEN PLANN
ING DEPr
APPLICANT:
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OWNER:
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ADDRESS:
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ADDRESS:
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TELEPHONE (Day time) c¡ 5,,;);/ '/ - ·;~·s.:.'.A
TELEPHONE:
_ Comprehensive Plan Amendment _ Temporary Sales Permit
-- Conditional Use Permit - Vacation of ROWlEasements
- 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 _ Notification Sign
~ Site Plan Review· ..lL Escrow for Filing Fees/Attorney Cost"
($50 CUP/SPRNACNARlWAP/Metes
and Bounds, $400 Minor SUB)
J.</ Subdivision· -\:">l\ q\i~ TOTAL FEE $ I S"fS ¿'.
A list of all property owners within 500 feet of the boundaries of the property must be included with the
application.
Building material samples must be submitted with site plan reviews.
"Twenty-six full size folded copies of the plans must be submitted, including an 8%" X 11" reduced copy of
transparency 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
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LEGAL DESCRIPTION
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TOTAL
ACREAGE
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WETLANDS PRESENT
YES
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PRESENT ZONING
REQUESTED
ZONING
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PRESENT LAND USE DESIGNATION
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REQUESTED LAND USE DESIGNATION /r,
REASON FOR THIS REQUEST -/(J /i/;{ I-
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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 ten business days of application submittal. A written
notice of applicatiorl 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 J 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 development review cannot be completed within 60 days due to public hearing
requirements and agency review. Therefore, the city is notifying the applicant that the city requires an automatic 60 day
extension for development review. Development review shall be completed within 120 days unless additional review
extensíons are approved by the applicant.
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Signature of AppÍicant ~ .p.. ~ .
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Sign re of Fee Owner
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. Date
Date
Application Received on \01 J ~ I u'¡
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.