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 DEVEI
Submittal Date: CA, — PC Date: N /-\ CC Date.
I
F -C- )-0 t t
CITY OF CHMNSEN
DMENT REVIEW
60 -Day Review Date: N
(Refer to the appropriate Application Checklist for required submittal information that must accompany this application)
❑
Comprehensive Plan Amendment .........................
$600
❑
Subdivision (SUB)
❑ Minor MUSA line for failing on-site sewers.....
$100
❑ Create 3 lots or less ........................................$300
❑
Conditional Use Permit (CUP)
❑ Create over 3 lots..............lot ....$600 + $15 per lot
ElSingle-FamilyResidence................................
El All Others
$325
( lots)
❑ Metes &Bounds (2 lots)..................................$300
.........................................................$425
El consolidate Lots ............. .......... .......................
$150
❑
Interim Use Permit (IUP)
❑ Lot Line Adjustment.........................................$150
❑ In conjunction with Single -Family Residence..$325
ElFinal Plat ..........................................................$700
❑ All Others.........................................................
$425
(Includes $450 escrow for attorney costs)*
*Additional
escrow may be required for other applications
❑
Rezoning (REZ)
through the development contract.
❑ Planned Unit Development (PUD) ..................
$750
Vacation of Easements/Right-of-way (VAC)........
$300
❑ Minor Amendment to existing PUD .................
$100
(Additional recording fees may apply)
❑ All Others .........................................................$500
❑
Variance
(VAR) ....................................................
$200
❑
Sign Plan Review...................................................$150
❑
Wetland Alteration Permit (WAP)
❑
Site Plan Review (SPR)
❑ Single -Family Residence ...............................
$150
❑ Administrative..................................................
$100
❑ All Others .......................................................
$275
❑ Commercialllndustrial Districts*......................$500
Plus $10 per 1,000 square feet of building area:
❑
Zoning Appeal ......................................................
$100
(_„ ____ thousand square feet)
*include number of existin employees:
❑
Zoning Ordinance Amendment (ZOA).................
$500
'Include number of new employees:
❑ Residential Districts ........................................
$500
NOTE: When multiple applications are processed concurrently,
Plus 5
$ per dwelling unit (_ units)
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
(_ 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) ❑ Deeds cn
TOTAL FEE: �� O
Section 2: Required Information
Description of Proposal: Mission Hills Senior Housing Owner, LLC requests that the'paper' road across our development site be
vacated. The road was previously modified to the current 86th Street W. and is no longer needed.
bud lL,
Property Address or Location: S �
Parcel#: 255300400
Legal Description:.
Total Acreage: 8.67✓ Wetlands Present? ❑ Yes Z No
Present Zoning: Planned Unit Development (PUD)
Present Land Use Designation: Residential High Density
Existing Use of Property: Agriculture
❑Check box if separate narrative is attached.
Requested Zoning: Not Applicable
Requested Land Use Designation: Select One
Section 3: Property Owner and Applicant
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: Contact:
Address: Phone:
City/State/Zip: Cell:
Email: 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 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: Michael Hoagberg Contact:
Address: 17550 Hemlock Avenue Phone: (952) 378-4386
City/State/Zip:
Lakeville, MN 55044 Cell: (612) 723-3330
Email: mhoagberg@headwatersdevelopme .biz Fax:
Signatu e:
Date: March 23, 2018
This application must be completed in full an 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: Contact:
Address: Phone:
City/State/Zip: Cell:
Email: Fax:
Section 4: Notification Information
Who should receive copies of staff reports? *Other Contact Information:
❑✓ Property Owner Via: ED Email ❑ Mailed Paper Copy Name:
❑ Applicant Via: ❑ Email ❑ Mailed Paper Copy Address:
❑ Engineer Via: ❑ Email ❑ Mailed Paper Copy City/State/Zip:
Fl Other* Via: F j 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. SAVE FORM PRINT FORM SUBMIT FORM