ApplicationCITY
COMMUNITY DEVELOPMENT DEPARTMENT APR 18 201PlanningDivision –7700 Market Boulevard CITY OF CIM NSENMailingAddressP.O. Box 147, Chanhassen, MN %4ASSNPAPJNINOPhone: (952) 227 --1300 /Fax: (952) 227 -1110
APPLICATION FOR DEVELOPMENT
PREVIEW
Dale Filed: _— 10U -14 60 -Day Review Deadline: (O— n -4 Planner: DES Case M aj y 4-110
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
All Others .......................... ............................... $425
Interim Use Permit
In conjunction with Single - Family Residence.. $325
All Others ................... ..$425
Rezoning
Planned Unit Development (PUD) .................. 750
Minor Amendment to existing PUD ................. 100
All Others .......................... ............................... 500
Sign Plan Review .................... ............................... 150
Site Plan Review
Lot Line Adjustment ..............
Administrative ................... ............................... 100
Commercial /Industrial Districts * ......................$500
Requires additional $450 escrow for attorney costs.
100
Plus $10 per 1,000 square feet of building area
applications through the
Include number of existing employees:
development contract.
the
and number of new employees:
Residential Districts .......... ............................... 500
Plus $5 per dwelling unit
QDITIONAL REQUIRED FEES:
Notification Sign ...............................
City to install and remove)
Property Owners' List within 500'....
City to generate —fee determined at pr
ut Escrow for Recording Documents.(;
CUP /SPRNACNARNVAP /Metes & Bo
Project Name:
Property Address or Location: _
70
Parcel #:
7S33Z -ca
2.T. 4Zcae b0
Total Acreage: A9
Present Zoning: -i
Present Land Use Designation: A
Existing Use of Property: PZ7/
Description of Proposal:
200
3pe addressss)
lication meeting)
350 er document
s 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)
ba
TOTAL FEES: $ (15RC —
Received from:
Date Received: Check Number:
Section 2: Required Information
I— -t-- I7o i
Legal Description: y
Wetlands Present? Yes No
Check box if separate narrative is
Requested Zoning:
Land Use Designation:
rr
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: 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 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 certiiffyy thhaaat the informations aand` exhibits submitted are true and correct.
Name: D ` ! Y i r/ Contact: q6-Z-93 ?— 9`?13
Address: 11
City /State /Zip:
Email:
Signature: _
Phone:
Cell: C/5 -2-eI6s '61/
Fax:
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 Information
Who should receive copies of staff reports? 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: