Application for Review 2016-14 (2)COMMUNITY DEVELOPMENT DEPARTMENT
Planning Division - 7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-1300 / Fax: (952) 227-1110
CITY OF CAANHASSEN
APPLICATION FOR DEVELOPMENT REVIEW LL
Submittal Date: PC Date: / CC Date: lD d� I 60 -Day Review Date:Section 1: cJ
Application .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)
Create 3 lots or less .......................................
❑
In conjunction with Single -Family Residence..
$325
ElAll
Others.........................................................
$425
❑ Rezoning (REZ)
Metes & Bounds (2 lots)..................................$300
❑
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)
❑ Subdivision (SUB)
❑
Create 3 lots or less .......................................
$300
❑
Create over 3 lots.......................$600 + $15 per lot
(_ lots)
❑
Metes & Bounds (2 lots)..................................$300
❑
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
OTE: When multiple applications are processed concurrently,
the appropriate fee shall be charged for each application.
Notification Sign (City to install and remove)..................................................................................................................
Property Owners' List within 500' (City to generate after pre -application meeting) ........................ ..... . ?5... $3 per address
addresses)
Escrow for Recording Documents (check all that apply) ................................... ...... $50 per document
......................
ElConditional Use Permit Interim Use Permit ❑ Site Plan Agreement
❑ Vacation R Variance ❑ Wetland Alteration Permit
❑ Metes & Bounds Subdivision (3 docs.) ❑ Easements (_ easements) XL -
TOTAL FEE: S�.Section 2: Required Information
Description of Proposal:
Property Address or Location: J q 0 l %-e5 Lez C4VrV-Q Gbk4—✓ 1- S S-C✓k
Parcel #: ZS . b 1S O l $ 0 Legal Description: _ & lci ik (L l Vlct, 5 cs4 At 04 i
Total Acreage: 1 4-"P- { - Wetlands Present? ❑ Yes KNo
Present Zoning: Select One
Present Land Use Designation: Select One
Existing Use of Property: _ S F i,- - n,, j—
❑ Check box is separate narrative is attached.
Requested Zoning: Select One
Requested Land Use Designation: Select One
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: k -N S I Lvw
Address: 3�o1 Le-sN.
City/State/Zip: j�rre4Siv r , P%^r I
Email: )LMa1c .LtJrwl o�%- Q ps"44.Si.(—I>
Signature:
Contact
Phone: aiSZ'Y7'a'`i�
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:
Contact:
Address:
Phone:
City/State/Zip:
Cell:
Email:
Fax:
Signature:
Date:
PROJECT ENGINEER ('If applicable)
Name: Contact:
Address: Phone:
City/State/Zip: Cell:
Email: Fax:
Section 4: Notification Information
Who should receive copies of staff reports? *Other Contact Information:
❑ Property Owner Via:
❑ Email
❑ Mailed Paper Copy Name:
R_Applicant Via:
[Email
❑ Mailed Paper Copy Address:
❑ Engineer Via:
❑ Email
❑ Mailed Paper Copy City/State/Zip:
❑ Other* Via:
❑ Email
❑ Mailed Paper Copy Email:
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