Application 12-3-04
cS-Od-
CITY OF CHANHASSEN
7700 MARKET BOULEVARD
CHANHASSEN, MN 55317
(952) 227-1100
DEVELOPMENT REVIEW APPLICATION
APPLICANT: Uc- y ßI;l,Cf?- ~f= ~
ADDRESS: 150 12.. t+~ (
yY1; T1 Y"UL---t-o~'ka.. 5534-S
TELEPHONE (Day Time) C:>¡5"Z-C>¡4+- l>¡40<=1.
OWNER: I-£c.Y ~$~ &r>""1~
ADDRESS: \5'01z... m--o (
VV7 ; V7Y'-<- ,'t~:'-Y7 f:.~ 5.55'4-S-
TELEPHONE: t?¡~2 -&744 ...P)4C:>;C:¡
Comprehensive Plan Amendment Temporary Sales Permit
Conditional Use Permit Vacation of Right-of-Way/Easements
Interim Use Permit ~ Variance ¡.
20D.DO
Non-conforming Use Permit Wetland Alteration Permit
Planned Unit Development* Zoning Appeal
Rezoning Zoning Ordinance Amendment
Sign Permits
Sign Plan Review X Notification Sign 41 17 ~
- _ Escrow for Filing Fees/Attorney CostH
Site Plan Review* - $50 CUP/SPRN ACN AR/W AP/Metes & Bounds
- $400 Minor SUB
')
-Ä- Subdivision* &00 -Þ l>/ùrî~~C:,Î~ TOTAL FEE $ ~ct5D. 00
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 bO~
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 8%" 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.
FRGM : TERRR ENGINEÈRING INC.
e rQ. S .J. v: ð....J
FRX NO.
763~512-0717
Nov. 19 2004 03:49PM P3
PROJECT NAME:
LEGAL DESCRIPTION:
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LOCATION:
TOTAL ACREAGE:
WElLANDS PRESENT:
PRESENT ZONING:
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YES
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NO .
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REQUË$TED ZONING:
PRESENT LAND USE DESIGNATION: S: - ~ ~ ~;Iy ...... ~ I '/
REQUESTED LAND USE DESIGNATION: .; ~ -.) L- ~ ø.. ~ . I ì
REASON FOR REQUEST:
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This application must be completed in fun and be typewritten or clearly printed and mU$t be accompanied by all information
and plans rêQuired 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 a.m making application for the descn"OOd action by the City and that I am responsible for complying with
all City requirements with regard to this reque$l 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 authotized person
to make this appIication and the fee owner has also signed this application.
I wíl\ 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 plior to any
authorization to proceed with the study. The documents and infonnation I have submitted are true and correct to the best of
m owl e.
Signature of Fee Owner
Application Received on \ L /3 I (y+
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1.1
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Fee Paid \) (} ,-.=,O -
Receipt No.
The applicant $hould contact staff for a copy of the staff report which will be available on Thursday prior to the
meeting. If oat contacted, a coþY of the report will be mailed \0 the applicant's address.
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