Development Review ApplicationSn-l
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COilTIUNTIY DEVELOPMET{T DEPART E T
Planning Division - 7200 Market Boutevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-1300 / Fax (952) 2ZT-111o
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Subminal Oate:,l
APPLICATION FOR DEVELOPMENT REVIEW
ec oae: I a/ a / r 9 cc oat6: _!_l_..tL3.jg:12 6ooay n",i'* o"ru, lJ { 3 I
(Refot to the aw,qrbte Ad&€t*n Ci,rcjr,i$ b. tq&d sutut/drf inb/I,l|r]li'on,rt tutg @iIFE,,V tha, ffi6o,t)
n Comprehensive ptan Amendment...._.................... $eOO EI Subdivision (SUB)! Minor MUSA rine for fairing on-site "",*;..... iioo " p.1 creete a rots or ress
E Conditional Use permit (CUp)
E Single-Famity Resi01nce................................ $325Ll AllOthers........ ................... $42S
! lnterim Use Permit (ltjpt
D ln conjunanon with singte-Famity Residence.. g325! A[ Otiers........ ... ....-....... ...... .................... 9425
( lots)
Metes & Bounds (2 lots)...............
Consolidate Lots...........................
Final Plat...............
(lncludes 9450 escrow for attomey costs).'Additilal qscro* may be requLed for other applicatiorLr
through the devetoprnent cort-ed.
tr
tr
Create over 3 lots..-
n
E Sign Plan Review...
Rezoning (REZ)
! Planned Unit Devetopment (pUD) ..Ll Minor Amendment to existinq pUD.
EAt otners........ . ....-.....
I Vacalbn of Easernents/Right-of-way (VAC)
(Additbnal rcco.ding feas may apply)
......... s750
......... $100
......... s500
v)...........................
lnterim Use Permit
Variance
Easements (__ easements)
$300
. $200 .
$3 per address
.-..... $50 per document
lan Agreernent
E Site Ptan Review (SpR)
I I Administrative. ................... $1OOD Commerciaulndustrial Diskicts*.. ................ iSOO
Plus $10 per 1,000 square feet of building ar€a:( thousand square feet).lndude nunber ol oxid*rq ernployees: _
! Residential Districis-.................................... $5OO
Plus 95 per dwelling unit ( units)
......... $150
appl!
Dtr
E WeUanO atteraion permit WAp)! Single-Famity Residence............................... $1S0LJ Ail Others........ ................. $Z7S
E ZoningAppeat ........................ $1oo
E Zoning OrdinanceAmendment (ZOA)............._... E5OO
!!gIE: When muHple.ppficdio'ls .,e proc.3s.d corEsnrnd,
thc .pprlp.ilte he 3h.ll be ch.rgod toie.ch appticdion.
E Notification Sign (City to instafl and remove) ..,. ...... ......
El Property Ownerc' List within 500' (Cily ro generate afie. pre.apptication rEetns)......................_........
f 4< aaaresses)E Escrow for Recording Oocuments (check all that
LJ Conditional Use PermitE Vacation
D Metes & Bounds Subdivision (3 docs.)
! site p
Wetland Alteration Permit
Deeds
TOTAL FEE
Description of Proposal: Three lot rcsidential subdivision
6760 Minna ashta Parkway
Section 1 Application Type (check all that a pplv)
Section 2: Required lnformation
Property Address or Location
Parcel*t 250051600 See Attached
Total Acreage:
Present Zoning
Legal Description;
2.70 Wetlan(b Present? fl yes UI trto
Single-Family Residential District (RSF)Requested Zoning . Single.Family Residential District (RSF)
Present Land Use Desig n"1;on. Residential Low Density Requested Land Use Designation . Residential Low Density
Single Family Home
$700
Ef Variance (VAR) ..................................................-. $2OO
Existing Use of Property:
lcheck box if separate narrative is attacied.
SCANNED
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Section 3 pplicant lnformationProperty Owner and A
APPLICANT OTHER THAN PRO PERTY OWNER:ln signing this applicatbn, I, as applicant, represent to have obtainedauthorization from the property owner to file this app lication. I agree to be bound by conditions ofthe right to object at the heari ngs on the application or during the appeal period. lf this application
approval, subject only to
the properiy owner, I have attached separate documentation of full legal capacity to file the appt
has not been sig ned by
should be processed in m y name and I am the party whom the City shou ld
ication. This appl ication
ap plication. I will keep m yself informed of the deadlines for submiasion of
contact regarding a ny matter pertaining to lhis
fu rther understand that additional fees ma y be charged for
material and the progress of this application. I
any auth to prodeed with study. I certify that
consutting fees,feasibility stud les,etc. with an estimate prior tothe information and exhibits subm itted are true and conect.
Name s .1"-.t *-t 16 (r J Contact:
Address:7t)-Phone:/7t - ta3?City/State/Zip:
Cell:
Fax:
Date
Email
e
PROPERTY O ER: ln s igning this application, t, as property owner, have full legalauthorize the ,iling of this a pplication. I understand th at conditi ons of approval are bin
capacity to, and hereby do,
conditions, subjea onl y to the right to object at the heari ngs or during the appeal
ding and agree to be bound by those
the deadlines for submission of material and the
periods.I will keep myself informed of
be charged for co nsulting fees, feasibil ity studies
progress of this application. I further un derstand that additional fees m ay
study. I cediry t hat the information an
, etc. with an estimate prior to any a uthorizatjon to proceed wih hed exhibits submitted are true and correct.
Name:Dale Wllenbring
Address:PO Box 89
Conhct:
Phone:(952) 71s-2s26
City/Statezip:
Email:
Waconia. MN 55387
Cell:
Fax:
B lders.com
Date:
PROJECT ENGTNEER (if appricable)
Name Campion En gineering SeMces, lnc.Contact
Phone:
Marty Campion
Address 1800 Pioneer Creek Center
1763) 479-s172
city/state./zip:
Email:
Maple Ptain, Mn SS359 (763) 486-3799
mcampion@campion eng.com
Who should i€ceive copies of staff rBports?'Other Contac-t lnformation:
Name: Harold WbnellEl Property OwnerLl Applicant
E] EngineerE omer
Meadowview Tearacs
A determination ot completeness of the appljcation shall be mwflnen notice of application deficiencies shall be maileO to ihe
ade within 15 business days of apptication submittal. Aapprrcant within 1S business days of application.
requiredprovisions.
Th IS n mustapplicatio combe n fullpleted mand ust be ied alaccompan informby ation and plansble byoapplicardinanceCityfitiBeforenathissreferpplicationthetoappropriatechApplicationecklistnadconfethwithPenlantotngOepartmentdetermnethenceordinaspecifcndableapplicaroceduraprerementsndqufees.
Section 4 Notification lnformation
lI'ISJRUCT|ONS TO AppL|CANT
device. PRINT FORM and detivei
copy to the city for processing.
: Complete all necessary form fields, then
to city along with required documents and
save a copy to your
RM to send a digitat
selecl SAVE FORM to
payment SUBMIT FO
SAVE FORM PRINT FORIU SUBTUIT FORM
Via: El Emait ! Maited paper CopyMa: L_l Emait ! Maited pafer CopyVia: I4 Emait ! Maited paper Copy
Via: l_l Emait D wtaiteO paper Copy
City/Statezip
Email:
3835
Sl- Bonifacius, MN
*
Signature:
Signature:
Cell:
Fax:
Address:
3{
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Property Owner and Applicant lnformationSection 3
Name l-a TD u{ru' B,,t'r LD'44
Address:&)Phone:
Cell:
Fax:
Oate
3a 7,
Email
Signature:
PROPERTY OWNER: ln signing this a , 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 thoseconditions, subject only to the right to obiect at the hearings or during the appeal periods. I will keep mysetf informed ofthe deadlines for submission of materi al and he progress of this application. I further u ndectiand that additional fees maybe charged for consulting fees, feasibi lity studies, etc. with an estimate prior to any authorization to proceed with thestudy. I certify that the information a nd exhibits submined are true and conect
Name:k''L D (i Con!act:k'k
Address:L Phone aKA 1?q lon
City/Statezip:
Email:
Cell:
Fax:
Sign
PROJECT ENGINEER (if appli:abte)
Name: Campion Engineering SeMces, lnc.6on1r"1 MaO Campion
phone: F63) 479-5172Address:1800 Pioneer Creek Center
City/Statezip: MaPle Plain, Mn 55359
Email: mcampion@campbneng-com
Cell:
Fax:
(763) 486-3799
Who should rcceive copies of staff reports?'Other Contact lnfomation:
Name: Harold \ /onellI Property Owner Via: E Email! npptlcant Via: E Erail
Mailed Paper Copy
Mailed Paper Copy
Mailed Paper Copy
Mailed Paper Copy
Address: _
City/Statezip
INSTRUCTIONS TO APPLICANT
device- PRINT FORM and deliver
copy to the city for pocessing.
: Complete allnecessary form fields, then select SAVE FORtt to save a copy to your
to city along with rcquired documents and payment. SUBMIT FORM to serid a Aigitat
SAVE FORM SUBMIT FORM
delermi
Th s n must be afull dn UStm beappcompleted iedn in nformatioaccompa redbyplansrequ by
le Ord na cen rOVIS ntoapplicab s.filinBefore thitv rs top theI ic€tio cn hecklistAppl
na d con withfer he Plann n ent to thenesDepartm ordina annce d blespecificapplica procedura
rementsUI andreq
E Engineer Via: E Emailn oner Via: ! Emait tr Email:Hsrold@Lakelo,vnBuildeG.com
APPLICANT oTHER THAN PRoPERTY owNER: ln signing this application, t, as applicant, represent to have obtainedauthorization from lhe property owner to file this applicati;n. iagree io be bouna uy cbnoitions oiapproval, suoject onty tothe right to obiecl at the hearings on the application or during thi appeal perioo. rtirris apfrication-rlJs nlt u"en
"ignea
uythe property owner, I have attached separate documentation- of tut igat iapacity to nre irie apfiicatLn.'irri" appti".tionshould be processed in my name and l.am the party whom the City s[ouE tonti"t ,g".ding!;,imaterperlaining to thisaPplication. I will keep myself informed of the deadiines for submiision of material an-d ttre i.gi""" ;ihi"
"pptication.
Ifurther understand that additional fees may be charged for consulting fees, reasiuiriti stuoL!, Etc. wittt Jn estimate prior oany authorization to proceed with the study. I certify that the informJtion and extribiis submitiJ are tue'ana onea.
Contact:
Date:
A determination of comPleteness of the application shall be made within 15 business days of application submitEl. Awritten notice of apPlication deficiencies shall be mailed to the applicant within t 5 business days of applicatjon.
in all and
referapplication,appropriate
fees.
Section 4: Notification lnformation
PRINT FORM