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signed applicationCOMMUNITY DEVELOPMENT DEPARTMENT Planning Division —77OOMarket Boulevard Mailing Address —P.O.Box 147.Chanhassen, MN55317 CITY OF CHMHASaEN Phone: (Q52)227'13OO/Fax: (Q52)227'111U 1 f APPLICATION FOR DEVELOPMENT REVIEW Submittal Date: 60 -Day Review Date: Section 1: Application Type (check all that apply) (Refer tothe appropriate Application Checklist for required submittal information that must accompany this application) F1 Comprehensive Plan Amendment ......................... $0OO F,/� Subdivision (SUB) LJ Minor PWUSAline for failing on-site sewers —..$1OO Create 3lots orless ........................................ $3OO Create over 3lots ....................... $GO0+$15 per lot F1 Cond�ono|Use Perm�(CUF) ( 18 lots) Residence Single -Family ---------- h/ �aba�&BoundoC2------ $300 LJ All Others ......................................................... $425 EJ Consolidate Lots .............................................. 150 �bahmUoeperm�(|Up1 Lot L�oA�uo��enL--------_____.$15O Final Plat L1 In conjunction « Residence.. �325 L� ------------------- (|mdude��45Ooaorow��ot�`rneyooa�y �7OO �� /�|O�er-------------------$425 *Additional escrow may uerequired for other applications Rezoning R��) m�uohmeuevempmen contract. Planned Unit Development (PUD) .................. $750 Vacation ofEaoements/Right-of+woy(V4\C)........ $3OO L� Minor Amendment toexisting PUD ................. $1O0 (Additional recording fees may apply) L�All Others ......................................................... $5OO L� Variance (V4R).................................................... $20O L� Sign Plan Review ----------------- �1SO El Wetland Alteration Permit (WAp) Site Plan Review (SPR) R Single -Family Residence ............................... $15O El Administrative ----------------..$1OO Ll All Others ------------------.$275 Ll Commercial/Industrial -------' �5OO Zoning Appeal $100qua $10 per 1.000 square feet of building area: — thousand square feet) *Include number of existin employees: EJ Zoning Ordinance Amendment(ZOA)-----..$5OU *Include number of new employees: � F��| �-------.__� _ N�m��u � Plus $5 per dwelling unit ( units) _- the appropriate fee shall be charged for each application. E] Property Owners' List within 5OO'(City mgenerate after pre -application meeting) .................................................. $3per address addresses) Escrow for Recording Documents (check all that ------------------..$5Operdocumont Conditional Use Permit Interim Use Permit Site Plan Agreement Vacation Variance F] Wetland Alteration Permit LJ Metes & Bounds Subdivision (3doco.) E] Easements easements) TOTAL FEE: $870.00 Sectio, n 2: Required Information Description ofProposal: See Attached Narrative Property Address orLocation: Parcel #: See Attached Total Acreage: 120.00 8VVcorner ofPowers Boulevard and Lyman Boulevard Legal Description: Wetlands Present? 0Yem 0 N Present Zoning: Agricultural Estate District (A2) See Attached Requested Zoning: Planned Unit Development (pUO) Present Land Use Designation: Commercial Requested Land Use Designation: Commercial Existing Use of Property- single family home and vacant, agriculture land R� Check box hsseparate narrative isattached. Section 3: Property Owner and Applicant Information APPLICANT OTHER THAN PROPERTY OWNER: In signing this application, 1, 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: Landform Professional Services, LLC Contact: Kendra Lindahl Address: 105 South Fifth Avenue, Suite 513 Phone: (612) 638-0225 City/State/Zip: Minneapolis, MN 55330 Cell: (612) 290-8102 Email: klindahl@landform.net Fax: (612) 252-9077 Digitally signed by Kendra Lindahl, AlCP Kendra Lindahl, AICP Date: 2016.09.22 17:19-.51 -05'00' 3/17/17 Signature. Date: PROPERTY OWNER: In signing this application, 1, 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: Level 7 Development Contact: Bahram Akradi Address: 4600 Kings Point Road Phone: (952) 229-7477 City/State/Zip: Minnetrista, MN 55331 Cell: (612) 812-1212 Email: bahEPmaC@Iife"f* ess.com.,, Fax: Signature: Date: PROJECT ENGINEER (if applicable) Name: Landform Professsional Services, LLC Contact: Steven Sabraski Address: 105 South Fifth Avenue, Suite 513 Phone: (612) 638-0243 City/State/Zip: Minneapolis, MN 55401 Cell: Email: ssabraski 9 landform. net Fax: (612) 252-9077 Section 4: Notification Who should receive copies of staff reports? Information *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