Development Review ApplicationCOI UN]TY DEVELOPHENT DEPART ENT
Planning Division - 7700 Market Boulevard
Mailing Address - P-O. 8ox 147, Chanhassen, MN 55317
Phonet (952) 227-1300 lFax: (952\ 227-1,110 *cnYotculr{rrAssru
APPLICATION FOR DEVELOPME REVIEW
S$.nitlel Dele: I Lo rc Date:L CC Dare:z0
(Rerat lo lhe qprwido Apdkdb Ched<ld lq rcqutod elb/7,t4al hr'o|lmdtot l'r,af nus! @oryany thkt @pfr@tbn)
E qomprehensive Plan Amendment......................... $600E Minor MUSA line for faiting on-site sewers..... $1OO
E SubdMsion (SUB)
D Create 3 lots or less
E Creats ov6r 3 lots..-.
.....$300
5 per lotE Conditional Use Permit (CUP)
E Single-Family Residance .E ell otters.........
...............$600 + $1
$32s
$425
tr
D
( lots)
Metes & Bounds (2 lots)..................................$300
Consolidate Lots . . .... ... ......... . 6l s0
E lnterim Use Permit (lUP)
E ln conjunction with 6ingte-Famity ResU€nce.. $32SLl AllOhers......... ............ .... $42 s
trtr Lot Line Adjustment..$rs0
Final P|at........................ s700
E Razoning (REZ)
(lncludes S4"5O escrow for attorney costs).
'Addlio.ul ssclorv msy ba .Bqlitrd tur o0|€ applcalio€
lhough I|. dardop.norf contraat
E Vacation of Easomsnts/Righr-of{ray (VAC)........ $30O( ddfiio.El r!co.dh0 ft.s fttay 4dy)
! Vadance ryan)....................................................0200
trtrtr
Planned Unit Development (PUD)....
Minor Amendment t. *l"ti"s pUb .........,,..,..
$7s0
$100
$s00All Others
E Sign ptan Review................................................... Sl SO ! W€tland Alteratjon Permittr (wAP)
E Site Plan Review (
f| Adminisratue
SPR)Single Family Residence .. $150
..s275...... $ 100 All Others......
! Commsrciaulndustial Districts....................... $SOO
Plus $10 p€r 1,000 square feet ot building area:( lhousand square fe€t)
'kEfrde ,rrnber olglghg crnpbt!6: _
E Zoning App€al. -................... $tOO
E Zoning Ordinanc€ Arnendment (ZOA)....-........... S5OO
IIQIE: Wh.i lrrllthh ?plc.ttoo. -. Foc....d cor.urrq y,Itr .ppF9.h.lb. drdl b. .fi.r!.d tor..cfi +patc.doo.
'lrrctie number of @ly omployees
D Residenthl Disldcts ..........$500
Pk s $5 per (hvslling unit ( units)
ft f.fainca$on Siqn (ciry to instet dro r€mo,r)$200
EI Property Owners' List within 5OO' (O'ty !o g.i.r.tG !ff.r pr6-.pcIc.tbn nEdhg)$3 per address
d Escrow for Recording Documents (check a lhatE Conditional Use Permit
E Vacation
E Metes & Bounds Subdivision (3 docs.)
!!![ addresses)
applv)..........................
E- tnterim Use Permit
EF variance
tr $50 per document
Site Plan Agreement
I Easements (_ easements)
tr!Wetland Alteration Permit
Deeds L,ooTOTAL FEE:
Doscription of Proposal:
Prop€rty Address or Location:9oc.vJ. za>(\pn-f
Parcel #:1505 ro Legal Descriptlon:
Wellands Prasent? E Ves E HoTotal Acreage:
P16sent Zoning . Select One Rsquastad Zoning . Select One
Present Land Use Desig nation. Select One Requested Land Use Designation . Sol8ct One
Existing Use of Property:
Ecnecf Oox tt separate narrative is attached.
a
Section 1: Application Type (check alt that apply)
Section 2: Required lnformataon
s 60-Day Review Dale:,I
erty Owner and Applicant InformatiorSection 3: Prop
APPLICANT OTHER THAN PROPERTY OWNER: ln signing lhis appllcation, l, as applicsnl' represent to have obtainod
authorization from th" prop.rty o*,n* io ife itris apptication. iagree i6 Oe OounO by conditions.of apptoval, subiect only to
ir," ,ight to ouj""t
"t
ttri rriarings on'ine application or ouAng thi appeat perlod. tf.thi:
"tp]i1T,1l"-t-not
b€€n shnod bv
il; ;#rty ffi;;, r nare atritreo separaie documenutb; d tull-li:gal capacity to file lhe applicatlon. This.application
should be procsss6O tn my name andi", th" p"rty *tro, the City should contact rogarding any mattor perlaining to this
;;;x;td": i witr reep mysett inlomeo of ths d'eaoiines for submiision of mata]ial and tho progress of this appllcatlon' I
iiir,"ir"o..t""a tfrjt a6omnaf fees maioe ctrarged tor consulting fees, feasibility studiss, etc. with 8n estimato prior to
"ii ,-rrttirilti""i" pro"""o mr, ur" "rroi. r""rtdtt"ttt" infomalbn and exhibits 6ubmttted are true and conect'
oD vue t&v 7 Pgfit,{{Contact:6N dft11Name:
?lbo 6kL ti i1 ZO PlttfiB:
Csll:
Fari
Date
qi 2 - 3oo- o/{f
/-2/-20Signature:
PROPERTY ER:ln signing lhis applicatlon, I , as propsrty ownor, have full leg at copaclty to, and hereby do'
authorize the filing oflhis applicadon. I understand thal conditions of approval are binding and agrse to be bound bY lhose
conditions, subject only to the rig ht to object at the headngs or during the app€al Periods.I will ksep mysef intormod of
the deadlines for subm ission of material and the progress of thls application. I further understand that additional feos maY
b€ charged for consultirE feos, feasibility studlss, etc. with an estimale prior to any sutholizallon to procssd with the
study. lcertify the information and ixhibits submitted are true and coneci.
-)
Name A5&1 ?-t-Contact .
P]r,ne q.<t-q4q-?b/ { ev. /ob
Cell:
Address:
City/Statezip:/
Email:Fax;
Date I -)t )
Signature:
Contacl:
Phone:
@ll:
Fax:
Who should rocelvs coploa of 3tafi reports?'Other Contacl lnformetlon:
Namg:
Addrsss:#ropery
EIlAppticantE Engineer
D ouer
owner via: {EYratt E
Ma: El€mail E
Vra: D Email Tl
Mailed Paper CoPy
Mailed Paper CoPy
Mailed Paper CoPY citylstalezip:
Email:via: El Email E Maihd PaPer coPY
aoolication shall bs made within 15 business days of application submittal- A
siliiG mairea to the applicsnt wihin 't5 business days of application'A determination of complstenoss of the
ffitten notice of aPdication defici€ncies
iredUinformationreq byplansallbetu[mand ust byaccompani€dstmuThisapdication thetorefaronicati appropriatefithisBeforeingapplrsronsOrdinanceprovCityapplicableandordinanc€proceduraltheapplicablsdeterminetospecificDepartmentnningand confer with the Pla
roqulrements and ,ees.
INSTR UCTIONS TO APP LICANT : Complets allnecessary form ffelds,
to city along with ]equired documents
thsn solect SAVE FORM to sav6 a copy to your
and pafnent. SUBMIf FORM to sond a digital
device.and deliver
SAVE FORTT SUBMIT FORYcopy to the city for Processing
Address:
Clty/Statezlp: c ll *tJ tk+g ({'p ,t4 ,v iS3 I 7
emait b.rrQ blu-[abl creol' vu . zn".
PROJE6 ENGINEER (if aPpli6ble)
Nam€:
Addrass:
CityEtateZiP:
Emall:
and
ChecklistApdicalion
Section 4: Notification lnformation
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