Application for Development Review 16-23COMMUNITY DEVELOPMENT DEPARTMENT
Planning Division - 7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-1300 / Fax: (952) 227-1110
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W , uJull
APPLICATION FOR DEVELOPMENT REVIEW
Submittal Date: 1S -ZZ -201 b PC Date: CC Date: 60 -Day Review Date:
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
$300
❑ Minor MUSA line for failing on-site sewers .....
$100
❑
Conditional Use Permit (CUP)
....................................
Variance (VAR)................
$20^v
❑ Single -Family Residence ................ I...............
$325
❑ All Others.........................................................
$425
❑
Interim Use Permit (IUP)
❑ All Others .......................................................
$275
❑ In conjunction with Single -Family Residence..
$325
$100
❑ All Others.........................................................
$425
❑
Rezoning (REZ)
the
appropriate fee shall be charged for each application.
❑ 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 (2lots). $300
❑ Consolidate Lots..............................................$150
® Lot Line Adjustment ........................................ 15
❑ Final Plat.......................................................... $700
(Includes $450 escrow for attorney costs)*
'Additional escrow may be required for other applications
through the development contract.
E]
Vacation of Easements/Right-of-way (VAC)........
$300
(Additional recording fees may apply)
r-1,
....................................
Variance (VAR)................
$20^v
❑
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
❑ 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
E] Conditional Use Permit El Interim Use Permit E:1 Site Plan Agreement
❑ Vacation ❑ Variance ❑ Wetland Alteration Permit
❑ Metes & Bounds Subdivision (3 docs.) ❑ Easements ( easements)
TOTAL FEE: 1 Sb
Section 2: Required Information
Description of Proposal:
Property Address or Location: R 2 SO G-Cfcti t )q;v1 5 \A6 v<Vta S f -evi
Parcel #: a 5 aZ 4 O 2 10 Legal Description: Set
Total Acreage:
2.7 S
Wetlands Present? °KCj Yes ❑ No
Present Zoning: Select One A,2 - Aac:cv 4v va t Requested Zoning: Select One S'agwt.,e
R`s'�`'`�`"t
Present Land Use Designation: Select One Select One � v� D��c.4y Requested Land Use Designation:
Existing Use of Property: S iw51-e -AvA i j „A Yrs ; -N-ey% t ,t 1
7 Check box is separate narrative is attached.
APPLICANT OTHEk ir,�kN 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:
City/State/Zip:
Email:
Signature:
Phone:
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: u L ® & c ew t Ls P6 U Contact: o
Address: 2 5 ® -f-ea plan o S R lVa Phone:
City/State/Zip: C. J` N Ce q I Cell: 54vNA <
Email:Pak) au lea -,0e Fax:
Signature:_ -�� u`� Date:
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 (:heckiist
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: Contact:
Address: Phone:
City/State/Zip:
Email:
Who should receive copies of staff reports?
❑
Property Owner
Via: ❑ Email
❑ Mailed Paper Copy
❑
Applicant
Via: ❑ Email
❑ Mailed Paper Copy
❑
Engineer
Via: ❑ Email
❑ Mailed Paper Copy
❑
Other*
Via: ❑ Email
❑ Mailed Paper Copy
Cell:
Fax:
*Other Contact Information:
Name:
Address:
City/State/Zip:
Email:
INSTRUCTIONS TO APPLICANT: Complete all necessary form fields, then select SAVE FORIV.". 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 f PRINT FORMSUBMIT FORM
I
COMMUNITY DEVELOPMENT DEPARTMENT
Planning Division —7700 Market Boulevard }'Al �Mailing Address — P.O. Box 147, Chanhassen, MN 55317 �� ITY �F S'�..
Phone: (952) 227-1300 / Fax: (952) 227-1110
APPLICATION FOR DEVELOPMENT REVIEW
Submittal Date: PC Date: CC Date: 60 -Day Review Date:
SectionApplication Typeapply)
(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)
$200
❑
❑ Single -Family Residence ................................
$325
❑ All Others........................................................
$425
❑
Interim Use Permit (IUP)
$275
❑
❑ In conjunction with Single -Family Residence..
$325
❑
❑ All Others.........................................................
$425
❑
Rezoning (REZ)
appropriate fee shall be charged for each application.
❑ 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
Pius $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 (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)
LJVariance
(VAR) ....................................................
$200
❑
Wetland Alteration Permit (WAP)
❑ Single-Famiiy 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
❑ 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( easements)`
TOTAL FEE: Z �
Section 2: Required Information
Description of Proposal:
Property Address or Location: y Z Sa 6Re)1 6l±fi v S /�L►>D
Parcel #: Z57 t2 �f 02 10 Legal Description: _� 0�nj
Total Acreage: 4._ Wetlands Present? Yes ❑ No
Present Zoning: Select One Requested Zoning: Select One
Present Land Use Designation: Select One
Requested Land Use Designation: Select One
Existing Use of Property: 12c5to �il�J lA C
7 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: oy,w LLC Contact:
Address: Ly00 — �YOE Phone:
City/State/Zip: 6(.3 L�btNJ VA a `!( /'lN S'S V-4 i Cell: >7 — Zy'Z- '- a 6 t Z
Email: b -11 r C A ` V V%E"t'. c o Fax:
Signature: Date:�� 4i
PROPERTY OWNER: In signing t 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: �A�L # "L PAA( -Som Contact: ?AVL- (A%JLS O^-"
Address: X25?0 6A -.-n' PLA -l0--),4 ✓]>- Phone:
City/State/Zip: �MIJ ' 3 I Cell: 9S 2 ' �! $ y ' Z (0
Email: Fax:
Signature: Date:
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: ',44L /,4Pj7- iSW 6 //V 6
Address: 2 3% &L L Ar V&
City/State/Zip:PVNt.APuL1 � 1 5�
Email: %a6 ay 5 �nl'» ky IA — 'A C. • C-av—,
Contact: AIDC. AAUSCb}
Phone: l 1i -7S2- 30 ,Ra
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:
❑ 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