ApplicationCOMMUNITY DEVELOPMENT DEPARTMENT RECEIVED '' {T ���J�J�� N
Planning Division -7700 Market Boulevard f]�C O 5 1014 Cll 1 OF C19tll11j131,1SEltl
Mailing Address – P.O. Box 147, Chanhassen, MN 553
Phone: (952) 227 -1300 / Fax: (952) 227 -1110
Ck41�INF�EP� Pt un�hlN ;WEPT
APPLICATION FOR DEVELOPMENT REVIEW
Date Filed: 4 60 -Day Review Deadline: a 3 -15 Planner: SS Case #: CrYS -- b i
❑ 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
❑ lanned Unit Development (PUD) .................. $750
[� Minor Amendment to existing PUD ................. $100
❑ All Others .......................... ............................... $500
El Sign Plan Review ........................ ........................... $150
LrJ 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:
P Residential Districts .......... ............................... $500
Plus $5 per dwelling unit = $'T bo
AD
,PITIONAL REQUIRED FEES:
LIT Notification Sign .................... ............................... $200
(City to install and remove)
R Property Owners' List within 500' ........ $3 per aaoress;
(City to generate– fee determined at pre - application meeting)
❑ Escrow for Recording Documents.. $50 per document
(CUP /SPRNACNARNJAP /Metes & Bounds Subdivision)
Project N
Property.
Parcel #:
Total Acn
Present Zoning: t (U f, fAAD Requested Zoning: J�! V.�s. — ReE,! �-T A,L
Present Land Use Designation: rlWM. AErn([> Requested Land Use Designation:$i
Existing Use of Property:
Description of Proposal: 15Z tJt ttT- �tcg FIDt (�Ir�L
Subdivision
❑ Create 3 lots or less .........
............................... $300
❑ Create over 3 lots .......................$600
+ $15 per lot
Metes & Bounds .........................$300
+ $50 per lot
❑ Consolidate Lots ...................
...........................$150
Vot Line Adjustment ..........
............................... $150
FinalPlat * .......................... ...........................$250
'Requires addition $450
c,owfor,ltomey costs.
Escrowwill be require or
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 application)
TOTAL FEES: $
Received from:
Date Received: Check Number:
Section 2: Required Information
Check box if separate narrative is attached
Section ••• Owner
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 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 proce"I with the study. /I certify that the iinn,foorrmation and exhibits submitted are true and correct.
Name: /� L C 111 �L l f7 U /� 6 �/U - �j _ Contact: /'7r.41at� arref !/l Ulf%rPs
Address: / J S6 /mod �66 16 '00qr Phone:
Gity /State /Zip: L� L:!/%/GG't i �i1/,S �-b y% Cell:
v
Signature: .* - Date: / ---� /-j/ ;Zc /y
PROPERTY OWNER: In signing this afpplication, 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: �t �Ote( ht&' --Z � rtr'15J i<CC Contact: /re i Iy '/
lr`11IA?,
Address: 7 Lf N G0. X-C u{ i V'2 -M a* Phone:
City /State /Zip: _ C i \0.11 i10.5SC`ti AAiv c3 1-7 Cell: Co 1 D, (OE� 5- 30
Email: K11 r r,k cony. Fax: qS2- N4S =0)3a.
Signature: _� a�Q�;'C Date: I a / /-l/ f r/
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: 42ei k l�s , .Cy.Q ID 4T Ir�L. Cont
Address�� PEA �1 x'15 220 Phor
City /State /Zip: �j2Mt rte` -i - miJ G52 � Cell:
Email ZEI0yy ->a, 5R,6- C I Fax:
Section G: Notification Information
Who should receive copies of staff reports? *Other Contact Information:
❑
Property Owner Via: mail
❑ Mailed Paper Copy
Name:
❑
Applicant Via: nTvmail
❑ Mailed Paper Copy
_
Address:
❑
Engineer Via: RrEmall
❑ Mailed Paper Copy
City /State /Zip:
❑
Other* Via: ❑ Email
❑ Mailed Paper Copy
Email: