Development Review ApplicationCOMMUNITY DEVELOPMENT DEPARTMENT
Planning Division— 7700 Market Boulevard OF CHANHASSNMailingAddress— P.O. Box 147, Chanhassen, MN 55317CITY
Phone: (952) 227-1300 / Fax: (952)227-1110
APPLICATION FOR DEVELOPMENT REVIEW
Submittal Date j 15 J 4-' PC Date: ! I G., I w CC Date:, f 311 .0 60-Day Review Date: .-1( l`1 1 ,3-e--
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)
Single-Family Residence 325 Metes & Bounds (2 lots) 300
All Others 425 Consolidate Lots 150
Lot Line Adjustment 150
Interim Use Permit (IUP) Final Plat 700
In conjunction with Single-Family Residence..$325 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
0 Variance (VAR) 200
Sign Plan Review 150 Wetland Alteration Permit(WAP)
Site Plan Review (SPR)
Single-Family Residence 150
Administrative 100 All Others 275
Commercial/Industrial Districts* 500
Zoning Appeal 100
Plus $10 per 1,000 square feet of building area:
thousand square feet) Zoning Ordinance Amendment(ZOA) 500
Include number of existing employees:
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)
sits Notification Sign (City to install and remove)
200
El Property Owners' List within 500' (City to generate after pre-application meeting)3 per address
29 addresses)
Escrow for Recording Documents (check all that apply)
50 per document
Conditional Use Permit
NN[
1] Interim Use Permit ElSite Plan Agreement
Vacation Variance Wetland Alteration Permit
Metes & Bounds Subdivision (3 docs.) Easements ( easements) Deeds
TOTAL FEE: $537.00
Section 2: Required Information
Description of Proposal: Request for variance to the no-building clause on our outlot on the east side of MinnewashtaPkwy. We would like to add a water-oriented accessory structure (small '8 x '10 storage shed)
Property Address or Location:
3920 White Oak Lane; Excelsior MN 55331
Parcel #:258300010 Legal Description: Lot 1, Block 1 White Oak Addition: Outlot A
Total Acreage: 0.55 Wetlands Present? Yes No
El
Zoning: Single-Family Residential District (R - Requested Zoning: Not Applicable
Residential Low Densn Re nested Land Use Designation: Residential Low DensityPresentLandUseDesignation: q
Existing Use of Property: Detached Single-Family
OCheck box if separate narrative is attached.
iYy'd
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 applicationshouldbeprocessedinmynameandIamthepartywhomtheCityshouldcontactregardinganymatterpertainingtothis
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 ofthedeadlinesforsubmissionofmaterialandtheprogressofthisapplication. 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:
Chad and Lindsay Lundeen Contact:
Chad
Address:
3920 White Oak Lane Phone:
City/State/Zip:
Excelsior, MN 55331 Cell: 612) 327-7096
Email:
lundeenc@vikings.nfl.net Fax:
Signature:
Date: 5/13/20
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:
O Property Owner Via: EI Email E Mailed Paper Copy Name:Lindsay Lundeen
Ej Applicant Via: [' Email Mailed Paper Copy Address: same as above
Engineer Via: Email Mailed Paper Copy City/State/Zip:
lindsavlundeen a(gmail.com
Other' Via: El Email El Mailed Paper Copy Email:
INSTRUCTIONS TO APPLICANT: Complete all necessary form fields, then select SAVE FORM to save a copy to your
device. 'RINT FORM and deliver to city along with required documents and payment. SUBMIT FORK to send a digital
copy to the city for processing. SAVE FORM PRINT FORD 1 .11BMIT FORM