Development Review Application COMMUNITY DEVELOPMENT DEPARTMENT
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Planning Division—7700 Market Boulevard
CITY OF CHANIIASSEN
Mailing Address—P.O. Box 147, Chanhassen, MN 55317
Phone: (952)227-1300/Fax: (952) 227-1110
1 APPLICATION FOR DEVELOPMENT REVIEW
Submittal Date: [ , ( l(.r 1 ( 9e`)
PC Dat ' I I I gCC Date ` I-)3 1 1 60-Day Review Date: ! ' t k`S.- I, n
Section 1: Application Type (check all that apply)
(Refer to the appropriate Application Checklist for required submittal information that must accompany this application)
❑ Comprehensive Plan Amendment $600 El Subdivision (SUB)
El Minor MUSA line for failing on-site sewers $100 El Create 3 lots or less $300
❑ Create over 3 lots $600 + $15 per lot
❑ Conditional Use Permit (CUP) ( lots)
❑ Single-Family Residence $325 El Metes & Bounds (2 lots) $300
❑ All Others $425 ❑ Consolidate Lots $150
ElInterim Use Permit(IUP) CI Lot Line Adjustment $150
El In conjunction with Single-Family Residence..$325 ❑ Final Plat $700
(Includes $450 escrow for attorney costs)*
$425
❑ All Others *Additional escrow may be required for other applications
through the development contract.
❑ Rezoning (REZ)
❑ Planned Unit Development (PUD) $750 El Vacation of Easements/Right-of-way(VAC) $300
❑ Minor Amendment to existing PUD $100 (Additional recording fees may apply)
El All Others $500
El Variance(VAR) $200
❑ Sign Plan Review $150
El Wetland Alteration Permit(WAP)
❑ Site Plan Review(SPR) ❑ Single-Family Residence $150
❑ Administrative $100 ❑ All Others $275
❑ Commercial/Industrial Districts* $500
Plus $10 per 1,000 square feet of building area: El Zoning Appeal $100
( thousand square feet)
*Include number of existing employees: CI Zoning Ordinance Amendment (ZOA) $500
*Include number of new employees:
❑ Residential Districts $500 NOTE: When multiple applications are processed concurrently,
the appropriate fee shall be charged for each application.
Plus$5 per dwelling unit ( units)
18 Notification Sign (City to install and remove) $200
Property Owners' List within 500' (City to generate after pre-application meeting) $3 per address
( /y addresses)
❑ Escrow for Recording Documents (check all that apply) $50 per document
❑ Conditional Use Permit ❑ Interim Use Permit ❑ Site Plan Agreement
ElVacation 6 Variance ❑ Wetland Alteration Permit
❑ Metes & Bounds Subdivision (3 docs.) Easements ( easements) El Deeds
TOTAL FEE:
Section 2: Required Information
Description of Proposal: Asking to alloy �m right to the edge of the e.a ement Eas�eet on
w- ..' . . ..- .. r.• : _ e . . . . - .. . -''- .. ture.
Property Address or Location: 1181 Homestead Lane
Parcel#: 10 Legal Description: Section 26 Township 116 Range 023
Total Acreage: 2.5 Wetlands Present? ❑ Yes ❑ No
Present Zoning: Mixed Low Density Residential District(I Requested Zoning: Not Applicable
Present Land Use Designation: Residential Low Density Requested Land Use Designation: Not Applicable
Existing Use of Property: Single family home
❑Check box if separate narrative is attached.
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. 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: John Jensen Contact:
Address: 1181 Homestead Lane Phone: 612-790-3614
City/State/Zip: Chanhassen, MN 55317 Cell: 612-790-3614
Email: jjensenii2@msn.com Fax:
Signature: Date:
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: Contact:
Address: Phone:
City/State/Zip: Cell:
Email: Fax:
Section 4: Notification Information
Who should receive copies of staff reports? *Other Contact Information:
El Property Owner Via: 0 Email ❑ Mailed Paper Copy Name:
El Applicant Via: ❑ Email El Mailed Paper Copy Address:
El Engineer Via: ❑ Email El Mailed Paper Copy City/State/Zip:
El Other* Via: El Email ❑ Mailed Paper Copy Email:
INSTRUCTIONS TO APPLICANT: Complete all necessary form fields, then select yt..rORIV to save a copy to your I
device. and deliver to city along with required documents and payment. SUBMIT ; to send a digital
copy to the city for processing.
SAVE FORM PRINT FORM SUBMIT FORM