Development Review 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
APPLICATION FOR DEVELOPMENT REVIEW
Submittal Date: 6/30/2015 PC Date: 8/16/2016 CC Date: 8/22/2016 60-Day Review Date: 8/23/2016
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
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)
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
NOTE: When multiple applications are processed concurrently,
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
(__6__ 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 (2 deeds) Easements (____ easements)
TOTAL FEE: $543.00
Section 2: Required Information
Description of Proposal:
Property Address or Location: 9150 and 9250 Great Plains Blvd, Chanhassen
Parcel #: 250232100 and 250240810 Legal Description: Sections 23, 24, T116N, R23W
Total Acreage: 42.5 Total ac; .059 proposed impact. Wetlands Present? Yes No
Present Zoning: A2 – Agricultural Estate Requested Zoning: N/A
Present Land Use Designation: Residential Low-Density Requested Land Use Designation: N/A
Existing Use of Property: Residential/Agricultural
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 o nly to
the right to object at the hearings on the application or during the appeal period. If this application has not been signed b y
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: 6102 Olson Memorial Hwy Phone: 612-202-0692
City/State/Zip: Golden Valley, MN 55422 Cell:
Email: billcoffman@cbburnet.com 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 furthe r 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: Kjolhaug Environmental Services Contact: Ben Carlson
Address: 26105 Wild Rose Lane Phone: 952-401-8757
City/State/Zip: Sherwood, MN 55331 Cell:
Email: ben@kjolhaugenv.com 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:
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.
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).