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Development Review ApplicationCOMMUNITY DEVELOPMENT DEPARTMENT Planning Division — 7700 Market Boulevard Mailing Address — P.O. Box 147, Chanhassen, MN 55317 Phone: (952) 227 -1300 / Fax: (952) 227 -1110 * CITY OFCNANHASSEN APPLICATION FOR DEVELOPMENT REVIEW Date Filed: �—`{—�� 60 -Day Review Deadline: Planner: VA Case #:ZC�I+ -� —I Section 1: Application Type (check all that apply) ❑ Comprehensive Plan Amendment ......................... $600 ❑ Subdivision ❑ Minor MUSA line for failing on -site sewers ..... $100 ❑ Conditional Use Permit ❑ Single - Family Residence . ............................... $325 El All Others .......................... ............................... $425 ❑ Interim Use Permit Create 3 lots or less ......... ❑ In conjunction with Single - Family Residence.. $325 ❑ All Others .......................... ............................... $425 ❑ Grading z 1,000 cubic yards ........................... UBC ❑� Rezoning ❑ ❑ Planned Unit Development (PUD) .................. $750 ❑ Minor Amendment to existing PUD ................. $100 ❑ All Others .......................... ............................... $500 ❑ Sign Plan Review ........................ ...........................$150 Create 3 lots or less ......... ❑ Site Plan Review ❑ ❑ Administrative ................... ............................... $100 ❑ Commercial /Industrial Districts * ......................$500 Metes & Bounds .........................$300 Plus $10 per 1,000 square feet of building area *Include number of existing employees: Consolidate Lots ................... and number of new employees: ❑ ❑ Residential Districts .......... ............................... $500 Plus $5 per dwelling unit Final Plat * ............................. ADDITIONAL REQUIRED FEES: ❑ Notification Sign .................... ............................... $200 (City to install and remove) ❑ Property Owners' List within 500' ........ $3 per address (City to generate— fee determined at preapplication meeting) ❑ Escrow for Recording Documents.. $50 per document (CUP /SPRIVAC/VARMAP /Metes & Bounds Subdivision) ❑ Create 3 lots or less ......... ............................... $300 ❑ Create over 3 lots .......................$600 + $15 per lot ❑ Metes & Bounds .........................$300 + $50 per lot ❑ Consolidate Lots ................... ...........................$150 ❑ Lot Line Adjustment .............. ...........................$150 ❑ Final Plat * ............................. ...........................$250 ❑ *Requires additional $450 escrow for attorney costs. $100 Escrow will be required for other applications through the $500 development contract. the ❑ 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 to the appropriate Application Checklist for required submittal information that must accompany this application) TOTAL FEES: S iJe - f KA Received from: Date Received: Check Number: Section 2: Required Information Project Name: 3010 West 78th Street Rezoning Property Address or Location: 3010 West 78th Street (part of Westwood Church property) Parcel #: 25- 0083310 Legal Description: Total Acreage: 1.25 Wetlands Present? ❑ Yes ® No Present zoning: Rural Residential (RR) Requested Zoning: Office /Institutional (OI) Present Land Use Designation: Residential Large Lot Requested Land Use Designation: No change Existing Use of Property: Single- family home Description of Proposal: Rezone property to incorporate with Westwood Community Church campus ❑ Check box if separate narrative is attached 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: Phone: City /State /Zip: Cell: Email: Fax: Signature: Date: PROPERTY OWNER: In signing this application, I, as property owner, have full legal capacity to, and hereby do, authorize the fling 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: Westwood Community Church Contact: Scott Sturm Address: 3121 Westwood Drive Phone: (952) 826 -9912 City/State/Zip: Chanhassen, MN 55317 Cell: Email: sturm_scott @yahoo.com Fax: Signature: Date: 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. PROJECT ENGINEER (if applicable) Name: Contact: Address: Phone: City /State /Zip: Cell: Email: Fax: Section 4: Notification Who should receive copies of staff reports? Information *Other Contact Information: © Property Owner Via: ❑� Email ❑ Mailed Paper Copy Name: ❑ Applicant Via: ❑ Email ❑ Mailed Paper Copy Address: ❑ Engineer Via: ❑ Email ❑ Mailed Paper Copy City /State /Zip: ❑ Other* Via: [-]Email ❑ Mailed Paper Copy Email: