Application 12-17-04
CITY OF CHANHASSEN
RECEIVED
05-05'
DEC 1 7 2004
CITY OF CHANHASSEN
7700 MARKET BOULEVARD
CHANHASSEN, MN 55317
(952) 227-1100
DEVELOPMENT REVIEW APPLICATION
CHANHASSEN PLANNING DEPT
APPLICANT: 'hift ~<.J{/,u§""'
OWNER: 77ìvt µ~c.#~ ~'£'Ur.N(r ßv~c
ADDRESS: Ith Pc:YoUtYw þ~
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ADDRESS: 11£0$ /odÚ'/þJ~1(
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l<¥t I{ 0, /flU 5S?Fd) tSirœls tv<.; "¥ ¡(/ S'Ç'33 /
TELEPHONE (Day Time) 9$!)~O"'d-c:;."?>t{ /
TELEPHONE: t:t<¡;~-(}-9~-s'SW
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Comprehensive Plan Amendment
Temporary Sales Permit
Conditional Use Permit
Vacation of Right-of-Way/Easements
Interim Use Permit
----ÌS- Variance 1Þ '). 00, P()
Planned Unit Development*
Zoning Appeal
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Non-conforming Use Permit
Wetland Alteration Permit
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Rezoning
Zoning Ordinance Amendment
Sign Plan Review
Notification Sign
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Sign Permits
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X Subdivision* U":' é) D·
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X Escrow for Filing Fees/Attorney Cost**
-~CUP/SPR/VACNAR/WAP/Metes & Bounds
{$400)Minor SUB
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TOTAL FEE $ %0£
Site Plan Review*
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 j{]
Building material samples must be submitted with site plan reviews.
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*Twenty-six 'full-size folded copies of the plans must be submitted, Including an OW' X 11" reduced copy for
each plan s eet.
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**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: .J,¡'w f/(jT'1ri r'¡ !ki.dt¥1o/ý
lOCATION: 8c I/¿ I ;Ji "'El1
LEGAL DESCRIPTION: ~R__
TOTALACREAGE:~ QC'
WETLANDS PRESENT:
PRESENT ZONING:---RSF=
REQUESTED ZONING: J~, sr
YES
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NO
PRESENT LAND USE DESIGNATION: ~~<! ~,!f J",,,,< l-"I>.¡ J.pjlS', \-t-f.e ,<;. ,
REQUESTED LAND USE DESIGNATION: ~/rf /~f- ILII~ 3 'þ4J c.efs 'b~W\.e .
REASON FOR REQUEST: ~~ hc1lt~ W r~ cÑ . 5 a.cre> I ð'f/1er ~ /ols fur ~~
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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 mailed to the applicant within 15 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.
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Signature of Applicant
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Date
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Signature of Fee Owner
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Fee Paid 91Y)-
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Date
Application Received on fa. 1/7 J óq.
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Receipt No.
The applicant should contact staff for a copy of the staff report which will be available on Thursday prior to the
meeting. If not contacted, a copy of the report will be mailed to the applicant's address.
G:\pIan\forms\Development Review Application,DQC