ApplicationCOMMUNITY DEVELOPMENT DEPARTMENT
Planning Division – 7700 Market Boulevard CITY OF CIIANNSEN
Mailing Address – P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-1300 / Fax: (952) 227-1110
APPLICATION FOR DEVELOPMENT REVIEW
Submittal Date: rJ -a6 %�_ PC Date: — I (O -I S CC Date: -7— /3-- 07 60 -Day Review Date: 9 — J Q — I T7i
Section 1: Application .- apply)
(Refer to the appropriate Application Checklist for required submittal information that must accompany this application)
❑ Comprehensive Plan Amendment .........................$600 ❑ Subdivision (SUB)
❑ Minor MUSA line for failing on-site sewers ...... $100 ❑ Create 3 lots or less.........................................$300
❑ Create over 3 lots ...................... $600 + $15 per lot
El Conditional Use Permit (CUP) ( lots)
❑ Single -Family Residence.................................$325 ❑ Metes & Bounds ........................ $300 + $50 per lot
❑ All Others .........................................................$425 ( lots)
❑
Interim Use Permit (IUP)
❑ In conjunction with Single -Family Residence..$325
❑ All Others .........................................................$425
❑
Rezoning (REZ)
❑ Planned Unit Development (PUD)...................$750
❑ Minor Amendment to existing PUD .................$100
❑ All Others .........................................................$500
❑
Sign Plan Review...................................................$150
❑
Site Plan Review (SPR)
❑ Administrative ..................................................$100
❑ Commercial/Industrial Districts* ......................$500
Plus $10 per 1,000 square feet of building area:
( thousand square feet)
*Include number of existing employees:
*Include number of new employees:
❑ Residential Districts.........................................$500
�,5/
Plus $5 per dwelling unit ( units)
LSI /It}QtificatJ6"ign {feitmo install a r e)... ...../..'.1,,,,...,.
❑ Consolidate Lots..............................................$150
❑ Lot Line Adjustment.........................................$150
❑ Final Plat ..........................................................$700
Includes $450 escrow for attorney costs*
*Additional escrow may be required for other applications
through the development contract.
❑ Vacation of Easements/Right-of-way (VAC) ........ $300
(Additional recording fees may apply)
Variance (VAR) ...................................................$200
❑ Wetland Alteration Permit (WAP)
❑ Single -Family Residence...............................$150
❑ All Others .......................................................$275
❑ Zoning Appeal ......................................................$100
❑ Zoning Ordinance Amendment (ZOA) .................$500
When multiple applications are processed concur
rQpriate fee shall be charged for each application.
���...t��..... ..................._ ...........
Property Owners' List within 500' (City to generate after pre -application meeting)......
Escrow for Recording Documents (check all th t apply) .......................
❑ Conditional Use Permit Interim Use Permit
❑ Vacation Variance
❑ Metes & Bounds Subdivision (number of deeds to be recorded: _)
Description of Proposal:
Section 2: Required Information
... — .....$3 per address
(,QQaddresses) � 0
...................................... $Mer document
❑ Site Plan Agreement
❑ Wtelland Alteration Permit
TOTAL FEE S to -
Parcel #ot�7-�{a���/b Legal Description: `CIT S LOCK o� �� S time oaks
Total Acreage: ..5 Wetlands Present? LKYes ❑ No
Present Zoning: J
Present Land Use
Existing Use of Property: S r w /c Fa.�
❑ Check box is separate narrative is attached.
Requested Zoning: _ �/A
f ,equested Land Use Designation: _ N//�
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:
Address:
City/State/Zip:
Email:
Signature:
Contact:
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 that the information and exhibits submitted are true and correct.
Name: [)U,2u3e SA1tftZa6e11C Contact: tJ UO NPS
Address: 119 (7 L- y 04 Al I) Phone: ePSZ - `i3Y^
City/State/Zip: 6k m Lccre^ nAl S -Y313 Cell: (o/
Email
Signatt
Fax: AJJ A
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:
Contact:
Phone:
Cell:
Fax:
Who should receive copies of staff repo ?
*Other Contact Information•.
�w tr, Kerber
tL(i Property Owner
❑ Applicant
Via:
Via:
El
❑ Email
Mailed Paper Copy
❑ Mailed Paper Copy
ame: l7tcnk p S�l�zaoF/�
Address: / ,7
❑ Engineer
❑ Other*
Via:
Via:
L] Email
❑ Email
❑ Mailed Paper Copy
❑ Mailed Paper Copy
City/State/Zip: Lar/r
Email: