ApplicationCOMMUNITY DEVELOPMENT DEPARTMENT �'rymH�{`� J(�u
Planning Division — 7700 Market Boulevard CITY OF C��[llillllA)SLN
Mailing Address -P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227 -1300 /Fax: (952) 227 -1110
APPLICATION FOR DEVELOPMENT REVIEW pp�� ' I r'�
Date Filed: � 60 -Day Review Deadline: tc ` 3 "- H Planner. S�ttJ Case 4_2 `t ^ i _
❑
❑
All Others .............................. ...........................
$425
(Additional recording fees may apply)
❑
Comprehensive Plan Amendment .........................
$600
subdivision
Rezoning
Wetland Alteration Permit
❑ Minor MUSA line for failing on -site sewers .....
$100
1� Create 3 lots or less .........
............................... $300
❑
Minor Amendment to existing PUD .................
❑ Create over 3 lots .......................$600
+ $15 per lot
❑
Conditional Use Permit
$500
❑ Metes & Bounds .........................$300
+ $50 per lot
Plan Review.. ... ........... ............... .................
❑ Single - Family Residence . ...............................
$325
❑ Consolidate Lots...............
............................... $150
irdormafion that must accompany this application)
❑ All Others .............................. ...........................$425
Administrative ....................... ...........................$100
Lot Line Adjustment ..................
....................... $150
❑
Interim Use Permit
Final Plat`......... ..... ... ....$250
Requires addition $ 50 row for attorney costs.
❑ In conjunction with Single- Family Residence..
$325
Escrow vdll be requir r other
development contmct.
applications through the
❑
❑
All Others .............................. ...........................
$425
(Additional recording fees may apply)
❑
Grading z 1,000 cubic yards ...........................
UBC
❑
Rezoning
Wetland Alteration Permit
❑
Planned Unit Development (PUD) ..................
$750
❑
Minor Amendment to existing PUD .................
$100
Zoning Appeal.... ... ............. .................. _ ............
❑
All Others .......................... ...............................
$500
❑
Sign
Plan Review.. ... ........... ............... .................
$150
❑
Site Plan Review
irdormafion that must accompany this application)
❑
Administrative ....................... ...........................$100
❑
Commercial/Industrial Districts` ......................$500
Plus $10 per 1,000 square feet of building
area
'Include number of existing employees:
and number of new employees:
❑
Residential Districts.. ...................... ................
$500
Plus $5 per dwelling unit
❑
Vacation of Easements /Right -of- way ...................
$300
(Additional recording fees may apply)
❑
Variance ................................ ...............................
$200
❑
Wetland Alteration Permit
❑ Single - Family Residence ...............................
$150
❑ All Others .............................. ......................
$275
❑
Zoning Appeal.... ... ............. .................. _ ............
$100
❑
Zoning Ordinance Amendment ............................
$500
NOTE: When multiple applications are processed concurrently,
the appropriate fee shall be charged for each application.
(Refer o the appropriate Application Checklist for required submittal
irdormafion that must accompany this application)
DITIONAL REQUIRED FEES: on
Notification Sign ................... .............................(:$:20j) TOTAL FEES: $ 15��
(City to install and remove) as ( +o be rn�(1ec(Sefx ra le� �' &_r'
Property Owners' List Within 500' ........ $3 per address Recel ed from: G 2G J �iGY i S
(City to generate — fee determined at pre - application meeting)
❑ Escrow for Recording Documents.. $50 per document Date Received: 03b1liq Check Number. IM
(CUPISPRNACNARIWAP/Metes & Bounds Subdivision)
Section A
Project Name: BI aCk Wa lt2vt- AC*'r'S Se �oncP .QG�i�i �7'ovt
Property Address or Location: & 2 6,0 C_h&6,k Q_ RoaGf
Parcel #: Z5S / /6002-0 Legal Description: al
Total Acreage: 2 .'i Wetlands Present?
Present Zoning: R S F
Present Land Use Designation: wc IZP✓5fLtc'.r1+; ./
Existing Use of Property:
Description of Proposal:.
% "f'/det ble-
/imin
❑ Check box if separate narrative is attached
A
0 Yes ❑ No
Requested Zoning: RI-SF
Requested Land Use Designation: jQe, 510fewv— 4-1
C vC.cvTe a
Section 3: Property Owner and Applicant Information
APPLICANT OTHER THAN PROPERTY OWNER: In signing this application, I, as applicant, represent to have obtained
authorization from the property owner to file this application. I agree to be bound by conditions of approval, subject only to
the right to object at the hearings on the application or during the appeal period. If this application has not been signed by
the property owner, I have attached separate documentation of full legal capacity to file the application. 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 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. I certify that the information and exhibits submitted are true and correct.
Name: Contact:
Address:
City /State /Zip:
Email:
Signature: _
Phone:
Cell: _
Fax:
Date:
PROPERTY OWNER: In signing this application, I, as property owner, have full legal capacity to, and hereby do,
authorize the filing of this application. I understand that conditions of approval are binding and agree to be bound by those
conditions, subject only to the right to object at the hearings or during the appeal periods. 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. I certify that the information and exhibits submitted are true and correct.
Name: rt� 24SL $ S rAlkt K A N(Nkt S Contact: rn, ZEt_ (-1 wtt t S
Address: L 6 1?5 3 SNt)4)L"ooO rkAlL Phone: _6t)- 69 e'_ Dist
City /State /Zip: M, wl J€ T o 0 KD. i /"� t3 S Sj 4 S'
Email: I^m%'L�LN M�.e/ S [t9 4 M r i L- e_ M
Signature: 4 `b'(' �
Cell: 4U- )-lb- .4qF'_
Fax:
Date: ® 3 k O-'1 k a of 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, refer to the
appropriate Application Checklist and confer with the Planning Department to determine the specific ordinance and
applicable procedural requirements.
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.
�vaveti o0.i
Name: MEy esa- kagLta Lib Contact: Afb C .J i C M C -I N
Address: -Z o f 1 s-r pa cc N a # 1 Phone: -% (,� 6F) 11 V I
City /State /Zip: Q o IPPINLo rr\n1 S S 3i 3 Cell:
Email et h e- A rv\ P- W e y -Y o 0. X i n. Cc an Fax:
Section 4: Notification Information
Who should receive copies of staff reports?
0"
Email Owner Via: Email ❑ Mailed Paper Copy
❑ Applicant Via: ❑ Email ❑ Mailed Paper Copy
•rEngineer Via: &Email ❑ Mailed Paper Copy
:K� ' Other* Via: 2 Email ❑ Mailed Paper Copy
`Other Contact Information: Dp
Name: PA-r>zku1- gUiy ug4J L4417
Address: tokoo 3rr{u 2a,TTz, -I-a70
City /State /Zip: -M E c�rrsr u Sc-?
Email: wtinae-4onka , NN Ll4su�` /of it, can