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ApplicationCOMMUNITY DEVELOPMENT DEPARTMENT RECEIVED Planning Division — 7700 Market Boulevard CITY OF CHANHASSEN Mailing Address —P.O. Box 147, Chanhassen, MN 593'}x➢ � ' ''-I)�`` Phone: (952) 227-1300 /Fax: (952) 227-1110 CHANHAS8ENPIANNINCf i �i f'1 APPLICATION FOR DEVELOPMENTREVIEW Submittal Date: 7l — �-- I PC Data: CC Date: - I — ) q — SO -Day Review Date: Section 1: Application .- (check all that 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 LlCreate over 3 lots.. ............lot ....$600 + $15 per lot F] Conditional Use Permit (CUP) ( lots) ❑ Single -Family Residence ................................ $325 ❑ Metes & Bounds (2 lots) .................................. $300 ❑ All Others......................................................... $425 ❑ Consolidate Lots..............................................$150 El Interim Use Permit (IUP) El Lot Line Adjustment.........................................$150 ❑ Final Plat El In conjunction with Single -Family Residence.. $325 ..............................................$700 (Includes $450 escrow for attorney costs)* ❑ All Others......................................................... $425 *Additional escrow may be required for other applications ❑ Rezoning (REZ) through the development contract. ❑ Planned Unit Development (PUD) .................. $750 ❑ Vacation of Easements/Right-of-way (VAC)........ $300 ❑ Minor Amendment to existing PUD ................. $100 (Additional recording fees may apply) ❑ All Others......................................................... $500 ❑ Variance (VAR) .................................................... $200 ❑ Sign Plan Review...................................................$150 ❑ Wetland Alteration Permit (WAP) ❑ Site Plan Review (SPR) ❑ Single -Family Residence ............................... $150 ❑ Administrative.................................................. $100 ❑ All Others....................................................... $275 ❑ Commercial/Industrial Districts* ......................$500 ❑ Zoning Appeal Plus $10 per 1,000 square feet of building area: ...................................................... $100 ( thousand square feet) *Include ❑ Zoning Ordinance Amendment (ZOA)................. $500 number of existing employees: 'Include number of new employees: ❑ 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 ( addresses) ❑✓ Escrow for Recording Documents (check all that apply)....................................................................... $50 per document ❑ Conditional Use Permit ❑ Interim Use Permit ❑ Site Plan Agreement ❑ Vacation ❑ Variance ❑ Wetland Alteration Permit ❑ Metes & Bounds Subdivision (3 docs.) ❑✓ Easements ( 2 easements) — .._a TOTALFEE: $800.00 Description of Proposal: Request for Final Plat approval of 4 single family lots Property Address or Location: 1510 Lake Lucv Road Parcel #: 250022900 Legal Description: See Separate Document Total Acreage: 3.12 Wetlands Present? Q Yes ❑ No Present Zoning: Single -Family Residential District (RSF) Requested Zoning: Single -Family Residential District (RSF) Present Land Use Designation: Residential Low Density Requested Land Use Designation: Residential Low Density Existing Use of Property: 1 Single Family Residence w/ Accessory Structures ❑ Check box is separate narrative is attached. 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: Contact: Address: Phone: City/State/Zip: Cell: Email: Fax: Signature: 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: Estate Development Corporation Contact: Tom Gonyea Address: 15250 Wayzata Boulevard, Suite 101 Phone: (612) 990-0666 City/State/Zip: Wayzata, MN. 55391 Cell: (612) 990-0666 Email: tom - andmn.co Fax: Signature: Date: 8111115 This application must be completed in full 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 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: Alliant Engineering, Inc. Contact: Mark Rausch Address: 233 Park Ave. So. Suite 300 Phone: (612) 767-9339 City/State/Zip: Minneapolis, MN. 55415 Cell: Email: mrausch@alliant-inc.com Fax: (612) 758-3099 Section 4: Notification Information Who should receive copies of staff reports? *Other Contact Information: ❑ Property Owner Via: ❑ Email ❑ Mailed Paper Copy Name: Ian Peterson 0 Applicant Via: ❑✓ Email ❑✓ Mailed Paper Copy Address: 12800 Whitewater Drive, Suite 20 0 Engineer Via: R] Email ❑ Mailed Paper Copy City/State/Zip: Minnetonka, MN. 55343 ❑✓ Other* Via: [D Email ❑ Mailed Paper Copy Email: IPetersonCa?dwhomes.com INSTRUCTIONS TO APPLICANT: Complete all necessary form fields, then select SAVE FORM to save a copy to your device. PRINT FORM and deliver to city along with required documents and payment. SUBMIT FORM to send a digital copy to the city for processing (required). savE FORM PRINT FORM SUBMIT FORM