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ApplicationCOMMUNITY DEVELOPMENT DEPARTMENT CITY RECEIVED EN Planning Division — 7700 Market Boulevard CITY OF C� RSSEN Mailing Address — P.O. Box 147, Chanhassen, MN 55317MAY O 9 2014 Phone: (952) 227 -1300 / Fax: (952) 227 -1110 CHANHASSENPL"INODES t j APPLICATION FOR DEVELOPMENT REVIEW _ 1 Date Filed: `� — 9 / 1 60 -Day Review Deadline: NIA Planner: Icy (`.) Case #t:�iot ❑ Comprehensive Plan Amendment .........................$600 ❑ 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 ❑ 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 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 pre - application meeting) ❑ Escrow for Recording Documents.. $50 per document (CUP /SPRNACNARNVAP /Metes & Bounds Subdivision) Project Name: Property Address or Location: Parcel #: ai5®©1A?? 1(.1 Tote! Acreage: 1? of Present Zoning: Present Land Use Designation: Existing Use of Property: Description of Proposal: ❑ Check box if separate narrative is attached ❑ Subdivision ❑ Create 3lots 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 addition 1 $450 a row for attorney costs. Escrow will be recl other applications through the development contract. 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 aoolication) TOTAL FEES: $_�♦' Received from: �Z t3-I -• Date Received: Check Number: t2, ❑ Yes 0 No Requested Zoning: JKS IC- Requested Land Use Designation: APPLICANT OTHER THAN PROPERTY OWNER: In signing this application, 1, 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 the right roperty owner, have attached separate dot umentati n of full legal period apacity if this to file the pp� cation. This saapplication y should be processed in my name and I am the party whom the City should contact regarding any matter pertaining to this application. 1 will keep myself in a d of the deadlines for submission of material and the progress of this application. I further urhd nd th additional fees may be charged for consulting fees, feasibility studies, etc. with an estimate prior to any authori with the study. I certify that the information and exhibits submitted are true and coned �L Name: al� i � �ontact: Address: 0 -?_0 Phone: to l a- O O -L - © Cily/statelZip: G r t c� . vv.i(u , 5 s- -3L— cell: — - Email: Signature: VA Fax: /L Date. PROPERTY OWNE�Ishrdn is applicat on�, i�s 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 Fturfv .i- nmigv_thah.thaintnnnation and exhibits submitted are true and correct. / / //° 6 lard) Contact: C Name: N1 Address: JZ j Phone: g'lA V '7 3 City /State /Zip: C% I51(J% /1/1 3 Cell: Email: a 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: Address: City /State /Zip: Email: Who should receive copies of staff reports? Contact: Phone: Cell: Fax: *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: