Development Review Application.}ct ?- )D
COMMUNITY 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 DEVELOPMENT REVIEW
Submiftal o"t",lIl ;r t t (PC Date: P l{ l' tX cc Date:
CITY OT CHAI.IIIASSII*I
60-Day Review Date:
(Refer to the appropriate Application Checktist for required submittat information that must accompany this application)
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Comprehensive Plan Amendment $600 f] Subdivision (SUB)
n Minor MUSA line for failing on-site sewers......$100 E Create 3lots or less
E Create over 3 lots ...
Conditional Use Permit (CUP)
E Single-Family Residence.,n Rttothers
lnterim Use Permit (lUP)
E ntothers....
n Rezoning (REZ)
n Sign Plan Review
E Site Plan Review (SPR)
......$325
............$425
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(_ tots)
Metes & Bounds (2lots)
Consolidate Lots ............
Lot Line Adjustment.
Final Plat....
..$300
$6OO + $15 per lot
...$300
...$150
'..$150
.'.$700
........ ......$150
.............' $275
... . ...'..'..$100
.............. $500
n tn conjunction with Single-Family Residence (lncludes $450 escrow for attorney costs)*
"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)
I Single-Family Residence......
E ntothers
I Zoning Appeal
I Zoning Ordinance Amendment (ZOA)
$200
$32s
$425
E Planned Unit Development (PUD)......... .. ....$750
E Minor Amendment to existing PUD.................$100
E rutothers ....... . .....$500
'E
"E[
tr............$150
I Administrative ..........$100
E C;;;i.i,rrrno,.i,i;iDi;i;i;i;; ... .'$5oo
Plus $10 per 1 ,000 square feet of building area:
(- thousand square feet)
*lnclude number of existing.employees:*lnclude number of ry emPloYees:
E Residential Districts ..$500
Plus $5 per dwelling unit (- units)
p[!: When multiple applications are processed concurrently,
th- appropriate fee shall be charged for each application.
..$3 per address
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Description of Proposal: fitttcD 4P AcC.ASorz-f /$t-tt t-Dril 6 (arw.a66) oN La'z'
37 70 LoN{ kD*L l*Ns ct*sr* ,MN ST3lgProperty Address or Location:
Parcel #: 2{17 ot:t> t or}o Legal Description:
TotalAcreage: /. 33 Wetlands Present? fives n Uo
Etoc-i1 / ce>,+tt Cr?€sT
lPr 2 BLo cl<
Requested Zoning fte5'
Requested Land Use Designation' S a 6t Cb'qAtdPresent Zoning: fZ€S
Present Land Use Designation: S L Pe** br
Existing Use of Property: StfGLr" Fn'+rtc
E[ Cnecf box if separate narrative is attached.
oN PTb i2r/7afl eo,
vAc*.,,or Lof FzD zrtzoe:siO fo fec€tt/{
ffitz*.i€ ff727L cD^) SoL( D*r7oN sf Lo79 .
Escrow for Recording Documents (check all that apply)
E Conditional Use Permit f] lnterim Use Permit
fl Vacation l-I Variance
Ei frl"t". & Bounds Subdivision (2 deeds) E Easements (- easements)
....$50 Per document
E Site Plan Agreement
fl Wetland Alteration Permit
n Deeds
TOTAL FEE:
Section 2: Required lnformation
AppLtcANT OTHER THAN PROPERTY OWNER: ln signing this application, l, as applicant, represent to have obtained
authorization from the property owner to file this application. iagree to be bound by conditions of approval, sub.iect only to
ine rrght to onject at the hearings on the application or during thL appeal period. lf this applicatioi has not been signed by
in" piop"rty o*n"r, I have atta6hed separaie documentation of full legal capacity to file the application. This application
.noltO'0" [rocessed in my name and I am the party whom the City should contact regarding any matter pertaining to this
il;ti";f;": I ;i1 k";f myself informed of the deadiines for submiision 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 autnorization to proceed with the study. I certift that the information and exhibits submitted are true and correct.
Address:
Contact:
Phone:
City/State/Zip:
Email:
Cell:
Fax:
Signature:
pROpERTy OWNER: ln signing this application, l, as property owner, have full legal capacity to, and hereby do,
authorize the filing of this afplicition. I understand that conditions of approval are binding and agree to be bound by those
ionaition", subleit only to ihe right to object at the hearings or during the appeal periods..l will keep myself informed of
the deadlines for submission of
-material and the progresJof this application. I further understand that additional fees may
i"
"11iig"a
io;.
"onsulting
fees, feasibility studies, eti. with an estimate prior to any authorization to proceed with the
study. I certify that the information and exhibits submitted are true and correct
Contact:/OcZ 4n415-
adaress: 3'770 /.:p e' Q=-o*a- L+z"te'
city/state/zip: q/4r(4, tlil s3'3/8 g.n bs-t-ad/- //{6/- /{6,
Email: PfcKb4 Fax:
PROJECT ENGINEER (if aPPlicable)
Contact:
This application must be completed in full and be typewritten or clearly printed and must be accompanied by all
intormliion and plans required by applicable City Ordinance provisions. Before flling this application, refer to the
ippropriate eppiication ihecklisi and confer with the Planning Department to determine the specific ordinance and
applicable procedural requirements.
A determination of completeness of the application shall be made within 1 5 business days of application submittal. A
writien notice of application deficiencies shall be mailed to the applicant within 15 business days of application.
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Who should receive copies of staff reports?
Property Owner
Applicant
Engineer
Other*
copy to the city for processing.
*Other Contact Information:
Via: E Email E tr,tailed Paper CoPY
via: E Email I Maited Paper Copy
via: E Email E Maiteo Paper copy
via: E Emait ! uaited Paper CoPy
Name:
Address:
Cityistate/Zip:
Email:
INSTRUCTTONS TO APPLTCANT: Complete all necessary.form fields, then select SAVE FORM to save a copy to your
device. PRINT FORM and delivEito city along with required documents and payment. SUBMIT FORM to send a digital
6s-t-e6/- /?67
Address:
City/State/Zip: