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Application 7-8-05 WITHDRAWN Planning Case No. 05 -d.~ CITY OF CHANHASSEN 7700 Market Boulevard - P.O. Box 147 Chanhassen, MN 55317 - (952) 227-1100 CITY OF CHANHASSIiN RECEIVED DEVELOPMENT REVIEW APPLICATION ,llIl 0 8 2005 CHANHASSEN PLANNING DEPT PLEASE PRINT Ap licant Name and A Owner Name~. d ~s: ( .....~ Contact: Phone: Email: Fax: Comprehensive Plan Amendment Temporary Sales Permit Conditional Use Permit Vacation of Right-of-Way/Easements Interim Use Permit Variance Non-conforming Use Permit Wetland Alteration Permit Planned Unit Development* Zoning Appeal Rezoning Zoning Ordinance Amendment Sign Permits .~ Subdivision* :z...../l\ .- ..::.J--'U .. '(' Notification Sign** - $75 + $100 lJamage Deposit -f"7-) X Escrow for Filing Fees/Attorney Cost*** ~UP/SPRNACNAR/WAP/Metes & Bounds '.:1450 Minor SUB ~O <c: .-- t/Q TOTAL FEE$ ../2~. ~ n. Sign Plan Review Site Plan Review* An additional fee of $3.00 per address within the public hearing notification area will be invoiced to the applicant prior to the PU~IiC hearing. /, \ * Twentf-sIx (26) full-size folded copies of t~plaflS"1'l'ltiSlbe submitted, including ~n 8%" X 11" reduced copy for each plan sheet along with a diQital COpy in TIFF-Group 41(* ,~t>... format. J-~W ill "i6 \An f'(\\ ~ Oil ',/11 los ** Applicant to obtain notification sign from City of CliaiillaSsen Public Works at 1591 Park Road and install upon submittal of completed application. $100 damage deposit to be refunded to applicant when sign is returned following City Council approval. *"* Escrow will be required for other applications through the development contract. Building material samples must be submitted with site plan reviews. NOTE: When multiple applications are processed, the appropriate fee shall be charged for each application. PROJECT NAME: I/Cl/'Vle.v X. S'tJ.dcl/ V/S /0/1 LOCATION: 66t)5 fIt,/3eS'htJe U.Jrl/~ t/;Jl7hJ..r('~ /J1N t;-s:~ /7 LEGAL DESCRIPTION: &'1";(/ 8/eJcft-.f i S'AT&F ,f~LJ/77'f?# TOTAL ACREAGE: 1,11/ Arre5 WETLANDS PRESENT: PRESENT ZONING: ~S 'F- REQUESTED ZONING: 6<...S F- PRESENT LAND USE DESIGNATION: ~sIJeA:i"jJ.~ ~ -~ REQUESTED LAND USE DESIGNATION: ~.sI'Jd-,J -Low ~s,~ REASON FOR REQUEST: _Y/Jdtl77J'/Hj V#7Jb ..z //E?rI?S YES V NO 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, you should confer with the Planning Department to determine the specific ordinance and procedural requirements applicable to your application. 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. This is to certify that I am making application for the described action by the City and that I am responsible for complying with all City requirements with regard to this request. 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 have attached a copy of proof of ownership (either copy of Owner's Duplicate Certificate of Title, Abstract of Title or purchase agreement), or I am the authorized person to make this application and the fee owner has also signed 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. The documents and information I have submitted are true and correct to the best of my knowledge .Jf1~;:aJJ ~~zar G:\plan\fonns\Development Review Application. DOC Rev. 4/05