ApplicationCOMMUNITY DEVELOPMENT DEPARTMENT
Planning Division -7700 Market Boulevard CITY OF CIMMSFN
Mailing Address —P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-1300 I Fax: (952) 227-1110
APPLICATION FOR DEVELOPMENT REVIEW
Submittal Date: PC Date: 6.112.1 CC Date:. GS110 60 -Day Review Date: _ 000%
Section 1! Application p•apply)
(Refer to the appropriate Application Checklist for required submittal information that must accompany this application)
❑ Comprehensive Pian Amendment ......................... $600
❑ Minor MUSA line for failing on-site sewers..... $100
Conditional Use Permit (CUP)
❑ Single -Family Residence ................................ $325
XAll Others ......................................................... $425
❑ 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
❑ Subdivision (SUB)
❑
Create 3 lots or less ........................................
$300
❑
Create over 3 lots .......................$600 + $15 per lot
lots)
❑
❑
Metes & Bounds (2 lots)..................................$300
64 Site Plan Review (SPR)
❑
Consolidate Lots..............................................$150
❑ Single -Family Residence ...............................
❑
Lot Line Adjustment, ......... __ ..... ...... .........
$150
❑
Final Plat ..........................................................$700
$275
CommercialllndustrialDistricts*......................$500
(Includes $450 escrow for attorney costs)*
❑Zoning
Appeal
*Additional escrow may be required for other applications
Plus $10 per 1,000 square feet of building area.46LI to
through the development contract.
......................................................
❑ Vacation of Easements/Right-of-way (VAC)........
$300
(Additional recording fees may apply)
❑Zoning
❑ Variance (VAR) ....................................................
$200
❑ Sign Plan Review ...................................................
$150
❑
Wetland Alteration Permit (WAP)
64 Site Plan Review (SPR)
❑ Single -Family Residence ...............................
$150
Al Administrative., .................................... ...........
$100
❑ All Others.......................................................
$275
CommercialllndustrialDistricts*......................$500
❑Zoning
Appeal
Plus $10 per 1,000 square feet of building area.46LI to
......................................................
$100
( yX thousand square feet)
*Include
❑Zoning
Ordinance Amendment (ZOA) .................
$500
number of existinc employees
*Include number of newemployees:
❑ Residential Districts .......................................
$500
NOTE: When multiple applications are processed concurrently,
Plus $5 per dwelling unit ( units)
the
appropriate fee shall be charged for each application.
®. Notification Sign (City to install and remove) ............................................
_.............._.................._.......................... _........
$200
® Property Owners' List within 500' (City to generate after pre -application meeting) ................................................. $3 per address
(L51 addresses) A tss
❑ Escrow for Recording Documents (check all that apply) ......................................... .......................... $50 per document
f2 Conditional Use PennittCg ❑ Interim Use Permit ® Site Plan AgreemenP 6_0
Vacation ❑ Variance ❑ Wetland Alteration Pmilt
ments (
❑ Metes & Bounds Subdivision (3 docs.) ❑ Ease_ easements)
TOTAL FEE -� � oO W
Section 2: Required Information
DescriptionofProposal: Ccmnaettc%4� PII`-u3cPi C+6 6P 70000 CkA1-0rhShS
$ou.Waei' Wv. eg 4usWW0r%.t3 110CN a r#*( 4eSrcati (Arr-CeACL * tlpompna@\ U04lt
Property Address or Location: proOy6e41 SCfJ t WyArdt-pLe( CI'
Parcel #:2R>I,s-12tS Legal Description: SPA A%_rA
Total Acreage: I't Wetlands Present? ® Yes ❑ No
Present Zoning: Select One 10 P
Present Land Use Designation: Select One RotA
F-Asting Use of Property -
❑ Check box is separate narrative is attached.
Requested Zoning: Select One 16P
Requested Land Use Designation: Select One Commq(tc�A-t,
CH#1HPg8Ei iPLAP.INING0Fpt
Section 3: Property Owner and Applicant Information
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 proceed with the study. I certify that the information and exhibits submitted are true and correct.
Name: l+ C -V- LA (V\rVTM---f Contact: ?kCA-L__L-+ME1T 4
Address: 'i21Sl qAit t !i �060y Phone: G12 -49t0 -1190
City/State2ip. l:rJrrJh� VI 10 SSZS Cell:
Fax:
Date:
PROPERTY WNER: In si4ntpg this application, I, as property omkizr. have full legal capacity to, and hereby do,
authorize th filing of this application:] understand that conditions of a proval 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: a%t- - Llirmrl°iM Contact: 9-4. (-*Me1-yXV
Address:
Phone: QU—44o-'ngtJ
Cell:
i
:mail L. C Fax:
lignature: --Date
This a � tion must ba completed in II and must accompani by all information and plans required by
p is I City Ordinance pr o .Before filing this application, re o the appropriate Application Checklist
and o r with the Planning Department to determine the specific ordinance and applicable procedural
rea ments and fees.
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: N -rs �Z
&, L -
SAi1xt2- 2Ci JtiSC
,ll
Contact: NAMa V' Bgm'
h,t
Address: \ So 8P0lan�
R't
t'�.tt: Sw'c»
Phone: 952 - 41t• - <aCwO
City/State/Zip: WPs�
Mrd
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Cell:
Email: N"QMAOQ
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Fax: q52 - 41c. -o1c�4
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: