Application for Development ReviewCOMMUNITY DEVELOPMENT DEPARTMENT
Planning Division - 7700 Market Boulevard CITY OF CHANHASSEN
Mailing Address – P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-1300 f Fax: (952) 227-1110
APPLICATION FOR DEVELOPMENT REVIEW
submittal Date: / f _3 — 17 Pc Deta:. G -5-.17_ cc DaleJ —? —1$ 60 -Day Review oat,: I —02 — /O `,,
(Relerto the appropriate Application Checklist forrequimd submittal information that must accompany this application)
❑ Comprehensive Plan Amendment .........................
$600 ❑
❑ Minor MUSA line for failing on-site sewers
..... $100
❑ Conditional Use Permit (CUP)
$10o
❑ Single -Family Residence ................................
$325
❑ All Others .........................................................
$425
❑ Interim Use Permit (IUP)
❑ In conjunction with Single -Family Residence- $325
❑ All Others .........................................................
$425
Rezoning (REZ)
❑ Residential Districts. ....... ...__ ....................00
❑ Planned Unit Development (PUD) ..................
`Minor Amendment to existing PUD ................
❑ All Others ....................... _..___
$1,%, ❑
$100
❑ Sign Plan Review ...................................................
$150
❑ Site Plan Review (SPR)
❑ Administrative.., _ ................ ......................
$10o
❑ CommerciaUlndustrial Districts*. ................
$500
Plus $10 per 1,000 square feet of building
area:
(_ thousand square feet)
'Include number of axis tino employees:
'include number of new employees:
❑ Residential Districts. ....... ...__ ....................00
...$5
Plus $5 per dwelling unit units)
Subdivision (SUB)
❑ Create 3 lots or less ........................................ $300
❑ Create over 3 lots.......................$600 + $15 per lot
(_ lots)
❑ Metes 8 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 avocations
through the development contract.
Vacation of Easements/Right-of-way (VAC)........ $300
(Additional recording fees may apply)
U variance (VAR)
...... _. _..... $200
❑ Welland Alteration Permit (WAP)
❑ Single -Family Residence ............................... $150
❑ All Others .......................................................$275
❑ Zoning Appeal ...................................................... $100
t.a.P
ning Ordinance Amendment (ZOA)..._...._...... $500
WhenmuaiPle appre lications ala moessed concurn ndy,
riate be shall be charged for each ppllcmlon.
Notification Sign (city to install and removal ....................................... ............. ...
.............................�..�p}r�+�}/ �) - —
Property Owners' List within 500' (city to generate after Pro -application meeting).._.... . . . . ...... ....... `�... $3 per address
................
El for Recording Documents {check all that apply) .................................................... addresses) ..... $50 per document
El Conditional Use Permit El Interim Use Permit ❑ Site Plan Agreement 1
❑ Vacation ❑ Variance ❑ Wetland AlterationP'ermit
❑ Metes 8 Bounds Subdivision (3 docs.) ❑ Easements( easements) acv
TOTAL FEE: 3�i(J
Description of Proposal:
0L1�oW 44-0—e—cLle 942 ak,-C \C on -\-lie {�'ItclNMn6Callts:lh-9-1 rz�
Property Address or Location: 7861 1L 06( CJCL,4,3 )1 n do n /VNO
Parcel #: J S / 200//,Q Legal Description: M i C i jrn 2oCrry-� r� J:�p L l /t,f
Total Acreage: 5�. k y Weltands Present? P Yes ❑ No
Present Zoning: Select One Requested Zoning: Select One
Present Land Use Designation: Select One
Existing Use of Property: _�LISGttyY-t
❑Check box if separate narrative is attached.
Requested Land Use Designation: Select One
Q14/!&
rr Q� I MNVINrrK(11 applicable)
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
Contact:
of full legal capacity to file the application. This application
should be processed in my name and 1 am the party whom the City should contact regarding any matter pertaining to this
application. I keep
L
will myself informed of the deadlines for submission of material and the progress of this application. I
further understand that additional fees may be for
Phone:
charged consulting fees, feasibility studies, etc. with an estimate prior to
any authorization to proceed with the study. I certify that the information and exhibits submittedare true
and correct.
Cell:
Name: I() I Contact: C' -L j`J C= jAJS f1
Address: i ED / A
Fax:
PPI Phone:
CitylState/Zip: (_l,� /l n ll� iL/[ CM /� 3 I �i
•*Other Contact Information:
Cell:
Name:
_
Email: ✓1 dT Cc. Fax:
Signature:
Address:
Ya: ❑ Email ❑ Malted Paper Co
El Other* Via; P Copy
❑ Email Mailed Paper
PROPERTY OWNER: In signing this application, I, as ro ereby do,
authorize the filing of this application. I understand thatc
Copy
ondit on of appaoval areebirlldng and agreeto be bound by those
conditions, subject only to the right to object et the hearings
INSTRUCTIONS TO APPLICANT: Complete all necessary form fields, then select iA 4 E ; OPM to save a copy to your
device. ?RI VT rOR%I and deliver to city along with required documents r
or during the appeal pedods. 1 will keep myself informed of
Ne deadlines for submission of material and the progress of this application. I further understand that additional fees maybe charged For consulting teas, feasibility studies,
and payment. S US M17 ORM to send a digital
-
etc. with an estimate prior to any authorization to
study. I certify that the information and exhibits submitted are true and correct. proceed with the
PRINT FORM SUBMIT FORM
Name: Contact:
Address:
Phone:
City/State/Zip:
Cell:
Email
Fax:
Signature:
Date:
rr Q� I MNVINrrK(11 applicable)
Name:
Contact:
Address:
Phone:
City/Statelzip:
Cell:
Email:
Fax:
Who should receive copies of staff reports? •
•*Other Contact Information:
❑ Property Owner Via- ❑ Email ❑ Mailed Paper Copy
Name:
❑ Applicant Via: ❑ Email p Mailed Paper Copy
❑ Engineer
Address:
Ya: ❑ Email ❑ Malted Paper Co
El Other* Via; P Copy
❑ Email Mailed Paper
City/state/Zip:
Copy
Email: Email:
INSTRUCTIONS TO APPLICANT: Complete all necessary form fields, then select iA 4 E ; OPM to save a copy to your
device. ?RI VT rOR%I and deliver to city along with required documents r
copy to the city for processing. ----- -
and payment. S US M17 ORM to send a digital
-
SAVEFORM
PRINT FORM SUBMIT FORM
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. 1 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 poor to
any authorization to proceed with the study. I certify that the information and exhibits submitted are true and correct.
Name: Contact: I L-:: L Q )- SNS Re-gliq
Address: Phone:
City/State/Zip: Cell:
Email: Fax:
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.
Nam@ omercia Bank & Trust, N.A. as Person fiesentative of the Estate of Prince Rogers Nelson 212-590-9992
Contact:
Address: By:Ge- Snover.VP 11/6/2017 Phone:
City/State/Zip: Cell: 215-622-8126
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?
❑ Property Owner Via: ❑ Email ❑ Mailed Paper Copy
❑ Applicant Via: ❑ Email p Mailed Paper Copy
D Engineer Via: ❑ Email ❑ Maded Paper Copy
❑ Other' Via: ❑ Email ❑ Mailed Paper Copy
*Other Contact Information:
Name:
Address:
City/State/Zip:
Email:
INSTRUCTIONS TO APPLICANT: Complete all necessary forth fields, then select % JE FORM to save a copy to your
device. r'r "^ a'+ and deliver to city along with required documents and payment. SUBMIT F c,u„ to send a digital
copy to the city for processing. --
SAVEFORM PRINT FORM SUBMIT FORM