Development Review ApplicationCOMUUNITY DEVELOPMENT DEPARTIIIENT
Planning Division -77@ Market Boulevard
Mailing Address- P.O. Bnlx147, Chanhassen, MN 55317
Phone: (952) 227 -1300 / Fax: (952) 227 -1 1 10
Submittal Date:
*crTYorurAl,rHAssltr
APPLICANON FOR DEVELOPMENT REVIEW
9/v,/aarc pc Date:allli' ,/ i!- cc Dare Afillg- 6o-Day Review o"," te I t t- [ r f
(Refer to the appropiate Applicatbn Checklist for required submiftal informatiln that must a@mpany this application)
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I Comprehensive Plan Amendment......................... $600 n SuUaivision (SUB)
I Minor MUSA ]ine for failing on-site sewers..... $100
Conditional Use Permit (CUP)
I Single-Family Residence.......... ...$325
E ltt Others........ ...........$425
lnterim Use Permit (lUP)
f] tn conlunction with Single-Family Residence..$325
E all others........ ........... $425
Rezoning (REZ)
! ehnned Unit Development (PUD) .................. $750I Minor Amendment to existing PUD................. $100n nttOthers........ ...........$5oo
Sign Plan Review...^... ......$150
Site Plan Review (SPR)
E lOministrative........... .$100
f] Commercial/lndustrialDistricts* ...$500
Plus $10 per 1,000 square feet of building area:(- thousand square feet)
"lnclude nunber ol 94$[49 employees:*lnclude number of ne1gemdoyees:E Residential Districts ... $500
Plus $5 per dwelling unit (_ units)
n Create 3 lots or less ............ .........$300
n Create over 3 |ots..................,....$600 + $15 per lot(_ lots)
! Metes & Bounds (2lots) ...............$300
E Consolidate Lots...... ..$150
D t-ot Line Adjustment......................................... $1 50
n FinalPlat............. .......$700
(lncludes $450 escrow for attorney costs)*
'Addltional escrow may be required for other applications
through the dereloprnent contract.
n Vacation of Easements/Flight-of-way (VAC)........ $300
(Additional recordirg fees may apply)
n WettanO Alteration Permit (WAP)
n Single-Family Residence........... . $150E rulOthers........ ......... $275
fl Zoning Appeat....... ......... $100
n Zoning Ordinance Amendment (ZOA)................. $500
S!: When muttlple appllcatbns are proossed @ncurrenily,
the appropriate fee shall bc charged lor each appllcatlon.
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Property Owners' List within 5O0' lcityto generate after pre.apflication meetirg) $3 per address(- addresses)
Escrow for Recording Documents (check allthat apply)$50 per document
tr.
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E ConOitional Use Permit
E Vacation
fl Metes & Bounds Subdivision (3 docs.)
lnterim Use Permit
Variance
Easements (_ easements;
E Site Plan Agreement
E Wetland Alteration PermitE oeeos
TOTAL FEE:
Description of Proposal:
Property Address or Location: PJ / C rc e ,(w ra)5 /rzzt Z /at rn4/. ff 3tF
Parcel#:LegalDescription: Jee Ene /a SzJ Se *fktnt,t f S f</zzzZ.rl=
Total Acreag., / , DD I ttcrtiWetlands Present? tr
Present Zoning:Select One Select One
Present Land Use Designation' Select One Requested Land Use Designation:Select One
Existing Useof Property: Rzl, J -enf;a /
lves E tto
Requested Zoning:
nCfreck box if separate narrative is attached.
Section 1:allthat
Section 2:lnformation
APPLICANT OTHER THAN PROPERTY OWNER: ln signing this application, l, as applicant, represent to have obtained
authorization from the propefi 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. lf 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:
Phone:Address:
City/StateZip:
Email:
Signature:Date:
PROPERTY OWNER: ln signing this application, l, as property owner, have full legal capacity to, and hereby do,
authorize the filing of this application. I understand that cnnditions 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. lfurther understand that additionalfees 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: lre*e " /a;! 9fP!!4 \ Contact- -fum2,
Address: F dt Cre e ,Qtua/ 5 h1/1-p
Cell'1 ll as.(o 'mzr/ {r3 7
Emair: SipZQOl/U/Yl/V" Z/z
Signature:8,/zO /eazrP
This application must be completed in full 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 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: & ba la bu,v lamZs/z.ra! 5t 4-?G.entaet 0tt/,vZ.d
Address: /ru ( 4a d*'t rzJ Z<vz Phone:
City/StateZip: 5./t,(a?ez 4fr't/ 'frl Z?b ta - JzO - 7€{,
Email: 4*
Cell:
Fax:
Cell:
Fax:
Who should receive copies of stafl reports?"Other Gontact lnfornration :
Name:El'Property Owner
Applicant
Engineer
Other"
n
ETtI
Via: p'Email
Via: fl Email
Via: NlEmail
Via: f]Email
$uaiteo Paper Copy
f]_tvtaiteo Paper Copy
fiuaiteo Paper Copy
E tvtaileo Paper Copy
Address:
City/StateZip:
Email:
I]{STRUCTIOIIIS TO APPLICANT: Complete all necessary form fields, then select SAVE FORM to save a copy to your
device. PRINT FORM and deliver to cfty along with required documents and payment. SUBMIT FORM to send a digital
copy to the city for processing.
SAVE FORM PRINT FORM SUBMIT FORM
Section 3:Owner and lnformation
Section 4: Notification lnformation