Application - Final PlatCOMMUNITY 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 CHANHASSEN
APPLICATION FOR DEVELOPMENT REVIEW
Submittal Date: PC Date: CC Date: 60 -Day Review Date:
(Refer to the appropnate 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
0
❑ 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)
j'Subdivision (SUB)
❑
Create 3 lots or less ........................................$300
$300
❑
Create over 3 lots .......................$600 + $15
per lot
❑
(_ lots)
$200
❑
Metes & Bounds (2 lots)..................................$300
❑
Consolidate Lots..............................................$150
$150
❑
Lot Line Adjustment.........................................$150
$275
0
Final Plat ..........................................................$700
$100
❑
(Includes $450 escrow for attorney costs)*
$500
*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 preapplication 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 FE
Description of Proposal: Divide one parcel into two parcels.
Property Address or Location:
Parcel #: 25-4170380
6900 Lake Harrison Circle, Chanhassen, MN 55317
Legal Description: Lot 12, Block 3, Lake Harrison Second Addition
Total Acreage: 2.20 Wetlands Present? ❑ Yes 0 No
Present Zoning: Single -Family Residential District (Rs Requested Zoning: Single -Family Residential District (RSF3
Present Land Use Designation: Residential Low Dens Requested Land Use Designation: Residential Low Density
Existing Use of Property: Residential Single Family Home
❑ Check box is separate narrative is attached.
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: Greenwood Design Build, LLC Contact: Scott Lcehrer
Address: 5555 West 76th Street, Suite L Phone (612) 840-4306
CRy/State2ip:
..
-
Edina, MN 55439
Cell: (612) 840-4306
Fax: (9J52)513-4641
Date: �d -/- le,
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
Address:
City/State/Zip:
Email:
Signature:
Scott & Greer Hussey
6900 Lake Harrison Circle
Chanhassen, MN 55317-4625
Contact: Lik-t7e.11 ',j;ec,
Phone:
Cell: iy
Fax:
This application must be completed in full and must be accompanied by a0f6rmation and plans required by
applicable City Ordinance provisions. Before filing this application, refer to the appropriate Application Checklist
and confer with the Planning Detiartment to determine the soecifiq.ordinance and aon�bja.oror"ural__.
1 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/State0p:
Cell:
Email:
Fax:
Section 4: Notification
Who should receive copies of staff reports?
Information
"Other Contact Information:
❑ Property Owner Via: ❑ Email ❑ Mailed Paper Copy
Name:
B Applicant Via: ❑D Email ❑ Mailed Paper Copy
Address:
❑ Engineer Via: ❑ Email ❑ Mailed Paper Copy
City/State2ip:
❑ 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 SUBMr FORM