Development Review Application COMMUNITY DEVELOPMENT DEPARTMENT
Planning Division--7700 Market Boulevard
CITY OF CIIANII&SSENMailing Address- P.O. Box 147, Chanhassen, MN 55317
Phone: (952)227-1300/Fax: (952)227-1110
APPLICATION FOR DEVELOPMENT REVIEW
Q 9
Submittal Date' u/Sa L0 PC Date: /OA fi()r' CC Date: WZ194/7 60-Day Review Date: /6/Z9/0 3/9
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 ❑ Subdivision(SUB)
❑ Minor MUSA line for failing on-site sewers $100 ❑ Create 3 lots or less $300
❑ Create over 3 lots $600+$15 per lot
❑ Conditional Use Permit(CUP)
( lots)
0 Single-Family Residence $325 El Metes& Bounds(2 lots) $300
❑ All Others $425 ❑ Consolidate Lots $150
ElInterim Use Permit(IUP) ❑ Lot Line Adjustment $150
❑ In conjunction with Single-Family Residence..$325 ❑ Final Plat $700
(Includes$450 escrow for attorney costs)'
❑ All Others $425
*Additional escrow may be required for other applications
through the development contract.
❑ Rezoning(REZ)
❑ 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 (gip{ Variance(VAR) $200
❑ Sign Plan Review... $150 rr��LL
❑ Wetland Alteration Permit(WAP)
O Site Plan Review(SPR) 0 Single-Family Residence $150
❑ Administrative $100 ❑ All Others $275
❑ Commercial/Industrial Districts* $500
Plus$10 per 1,000 square feet of building area: E Zoning Appeal $100
( thousand square feet) El Zoning Ordinance Amendment(ZOA) $500
"Include number of Qxistinq employees:
'Include number of new employees:
❑ Residential Districts $500 NOTE: When multiple applications are processed concurrently.
Plus$5 per dwelling unit( units) the appropriate fee shalt be charged for each application.
X Notification Sign(City to install and remove) $200
gProperty Owners' List within 500'(City to generate after pre-application meeting) $3 per address
N2,_addresses) = 12{0
❑ Escrow for Recording Documents(check all that apply) $50 per document
❑ Conditional Use Permit Interim Use Permit ❑ Site Plan Agreement
❑ Vacation Variance 0 Wetland lteration Permit
El Metes&Bounds Subdivision (3 docs.) ❑ Easements( easements) ❑ Deeds6a
TOTAL FEE: 5`—I(o
Section 2: Required Information
Description of Proposal:
Property Address or Location: CIO 6,04111-^ Gc h Rd
Parcel#: 2,51 iso 2210 Legal Description: }o-1-J 30?8 307:1, b&O
Total Acreage: « I/ Wetlands Present? El Yes( No
Present Zoning: Select One RAS j t AJ&i A— Requested Zoning: Select One RPe-k ( tn,r,•t 1---
Present Land Use Designation: Select One F2 I Re9uested Land Use Designation: Select One R I
Existing Use of Property: Si n y ll✓ "mol,/ bio., / V&,t,t -
❑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, 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.
Name: 4-1. Ga��'' Contact: *10' 04:Le`r mete &a.„
Address: 5 1". cJ IS l Phone: /Z 94L-tot19�
City/State/Zip: 111. t, Miv ,?1 L Cell: to(? e,
Email: ALL , eNet.ar tr( �f'iC Li3 N1 Fax:
Signature: Date: a/3o/2°to
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:
C/2? - Property Owner Via: ❑ Email ❑ Mailed Paper Copy Name:
El Applicant Via: 0 Email q Mailed Paper Copy Address:
❑ Engineer Via: El Email 0 Mailed Paper Copy City/State/Zip:
❑ Others Via: ❑ Email 0 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