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ApplicationCOMMUNITY DEVELOPMENT DEPARTMENT CITY OF CHANHASSEN Planning Division — 7700 Market Boulevard Mailing Address —P.O. Box 147, Chanhassen, MN 55317 Phone: (952) 227 -1300 / Fax: (952) 227 -1110 I APPLICATION FOR DEVELOPMENT REVIEW Date Filed: - (g -I`f- 60 -Day Review Deadline: -1 -i�' Planner:RG Case #: d'.0 Section 1: Application Type (check all that apply) ❑ Comprehensive Plan Amendment .........................$600 ❑ Subdivision ❑ Minor MUSA line for failing on -site sewers ...... $ 100 ❑ Create 3 lots or less ............. ...........................$300 ❑ Create lots over 3 .................... $600 + $15 per lot ❑ Conditional Use Permit LK Metes & Bounds .........(0 $300 + $50 per lot ❑ Single - Family Residence ...... ...........................$325 Consolidate Lots .............................................. $150 ❑ All Others .............................. ...........................$425 ❑ Lot Line Adjustment .................................... . .... $150 ❑ Final Plat* ............................. ...........................$250 El Interim Use Permit 'Requires additional $450 escrow for attorney costs. ❑ In conjunction with Single - Family Residence..$325 Escrow will be required for other applications through the development contract. ❑ All Others .............................. ...........................$425 ❑ Vacation of Easements / Right- of- way ...................$300 ❑ Rezoning (Additional recording fees may apply) ❑ Planned Unit Development (PUD) ...................$750 ❑ Minor Amendment to existing PUD .................$100 ❑ Variance ............................................................... $200 ❑ All Others .............................. ...........................$500 ❑ Wetland Alteration Permit ❑ Sign Plan Review ........................ ...........................$150 ❑ Single - Family Residence ............................... $150 ❑ All Others ............................ ...........................$275 ❑ Site Plan Review ❑ Administrative ........................ ...........................$100 ❑ Zoning Appeal ...................................................... $100 ❑ Commercial /Industrial Districts * ......................$500 Plus $10 per 1,000 square feet of building area ❑ Zoning Ordinance Amendment . ...........................$500 Include number of existing employees: and number of new employees: NOTE: When multiple applications are processed concurrently, ❑ Residential Districts .............. ....... ....................$500 the appropriate fee shall be charged for each application. Plus $5 per dwelling unit (Refer to the appropriate Application Checklist for required submittal information that must accompany this application) ADDITIONAL REQUIRED FEES: �, �� eG (� Notification Sign ........................ ...........................$200 TOTAL FEES: $_ (City to install and remove) - Property Owners' List within 500'......... $3 per address � . Received from: d V �Ft' ✓ /Elli' (City to generate - fee determined at pre - application meeting) �f Escrow for Recording Documents.. $50 per document Date Received: -1—(�4 Check Number: SW; (CUP /SPRNACNAR/wAP /Metes & Bounds Subdivision) lob Project Name: 4 ITW(/ /< Property Address or Location: Parcel #: egal Description: jwz -*-/ a4L, Total Acreage: (p� 2= L#799n Wetlands Present? ❑ Yes No Present Zoning: Requested Zoning: Present Land Use Designation: Existing Use of Property: _ �, ❑ Check box if separate narrative is attached Requested Land Use Designation: 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. 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. 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 t 4 the info Jnation and exhibits submitted are true and correct. Name: Address: City /St Email: Signet Contact: / /�� _ Phon 'P� Z� 60- Cell: E;-XPZe- 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 requiremarits. 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: