ApplicationCOMMUNITY DEVELOPMENT DEPARTMENT
Planning Division – 7700 Market Boulevard
Mailing Address – P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-1300 / Fax: (952) 227-1110
IG -
CITY OF CHANHASSEN
APPLICATION FOR DEVELOPMENT REVIEW
Submittal Date: 0 Il PC Date: ?%)'I � 5 CC Date: IL60-Day Review Date: /a a% /`�
Section 1: Application Type (check all that apply)
(Refer to the appropriate Application Checklist for required submittal information that must accompany this application)
❑ Comprehensive Plan Amendment .........................$600
❑ Minor MUSA line for failing on-site sewers ...... $100
❑
Conditional Use Permit (CUP)
❑
❑ Single -Family Residence.................................$325
❑ All Others .........................................................$425
Interim Use Permit (IUP)
❑ In conjunction with Single -Family Residence..$325
area:
"?. 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
Plus $5 per dwelling unit ( units)
Notification Sign (City to install and remove) ..........................
❑ Subdivision (SUB)
❑ Create 3 lots or less.........................................$300
❑ Create over 3 lots ...................... $600 + $15 per lot
( lots)
❑ Metes & Bounds ........................ $300 + $50 per lot
( lots)
❑ 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
NOTE: When multiple applications are processed concurrently,
the appropriate fee shall be charged for each application.
..................................................................................... $200
AProperty Owners' List within 500' (City to generate after pre -application meeting)....
Escrow for Recording Documents (check all that apply) ..........................
❑ Conditional Use Permit 0 Interim Use Permit
❑ Vacation ❑ Variance
❑ Metes & Bounds Subdivision (number of deeds to be recorded: _)
o t14-40nVf4.11 0A 04
of Proposal:
Property Address or Location:
Parcel #: 6oZCU Legal Description: L -c
Total Acreage: 3 =�cl Wetlands Present?
Present Zoning:
Present Land Use Designation: "r-ci
Existing Use of Property:
❑ Check box is separate narrative is attached.
❑ Yes ❑ No
................................ .....$3 per address
(7 addresses) f ZI/
..........$50 per document
❑ Site Plan Agreement
❑ Wetland Alteration Permit
od
AL FEE: Logo —
I�
Requested Zoning:
Requested Land Use Designation:
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.
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:
Addre:
City/St
Email:
Signati
Contact: TBr\, LJAtil
G�
Phone: / y Z' 24 Z— 6 A 7
Cell: C� GOvC
Fax:
Date: Z d 431 -L01
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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: 8�;L-G ,
Address:
City/State/Zip:
Email:
Signature: _
Contact: [ k S �Y-a (.n
Phone:
Cell:
Fax:
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:
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:
ElEmail
ElMailed Paper Copy City/State/Zip:
❑
Other' Via:
❑ Email
❑ Mailed Paper Copy Email: