Development Review ApplicationCOMUUNITY DEVELOPMENT DEPART ENT
Planning Division - 7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (9521227-1'100 / Fax: (9521227-1110 CITYOTCIINIIASSII{
QI
APPLICATION FOR DEVELOPMENT REVIEW
( :z:PC Date:1 2/)Submittal Date CC Oate:
Section 1: Application Type (check all that apply)
(Refet to the aoptuptidte Applicat on Ch€c'HN lor Gquhed sutunittal intornbtbn thal nl/Ust @n@ny l,i,is application)
D Comprehensive Plan Amendment.....-................... $600
E Minor MUSA line for failing on-site sewers ..... $100
E Conditional Use Permit (CUP)
E subdivision (SUB)
f] Create 3lots or less..E Create over 3 |ots......( lots)A Metes & Bounds (2 lots)...........
D Consolidate Lots.......................
............................$300
.......$600 + $15 p6r lot
.............._-..... $300
......................0150
E Single-Family ResidenceE ett ourers........
E tnteam Use Permit (lUP)
E AI ohers......
E Rezoning (REZ)
..... $325
..... $425
D Lot Line Adjustment..................E Fi;"r iil.-:--....,.......:..................E ln coniunction with Single-Family Residence.. $325
.............. s150
...-......... $700
Plann€d Unit Development (PUD) .
Minor Amendment to existing PUD
All Others.-............
(lncludes $450 escrow for attomey costs)'
'AddilirEl €scrorv nlay be rcqrrcd tot odle applicatims
throl46 the de\dopanent contracl.
E Vacation of Easements/Right-of-way (VAC)........ $300
(Additioial leco.dirE ,e€s may apdy)
E Variance (VAR)............... ................ .................. $200
E Weuand Alteration Permit (WAP)
E Single-Famity ResidenceE nt ottrers........
... $150
...$275
tr!
..... $425
trtrtr
....... $750
..._... $100
..-.... $500
E Sign Plan Review............................
D Site Plan Review (SPR)
! Administrative.
n Commerciaulndustrial Districts'
.. $100
.. $500 E zoning Appea|................. $100
fl Zoning Ordinance Amendment (ZOA)................. $500
.... $500 !!qIE: Whon multiple application3 are proce3sed concunBnty,
the apFopriate fa6 shall bo charged tor each applic.tion.
$200
$3 per address
LZ9- addresses)
................ S50 per document
Site Plan Agreement
Wetland Atteration Permit
........... $1s0
Plus $ 1 0 per '1 ,000 square feet of building area( thousand square feet)
'lnclude number of g&ElEg erndolees: _
'lnclude iumber of @! employees:
D ResidentialDistricts
Plus $5 per dwelling unit ( units)
E Notification Sign (city to instatt aid rcfllow) ...................
E Property Owners' List within 500' (city to g€rBrate afrer prs-applkatirr meeting).........
@ Escrow for Recording Documents (check all that
E Conditional Use Permit
app!lv)...........................
lnterim Use Permit
E vacation D Variance
E Metes E Bounds Subdivision (3 docs.) tr Easoments (- easements)l-l oeeasfrral ree, $1,337.00
Section 2: Required lnformation
Description of Proposal
Property Address or Locataon 901 Carver Beach Rd, Chanhassen, MN 553't7
Parcel #:2s.2000010 Legal Description:Section 02 Township 1'16 Range 023 Chapanal Lot 00'l Block 001
TotalAcreage:
Prssent Zoning
2.40 Wetlands Present?Z ves EHo
. Planned Unit Development (PUD)Requested Zoning . Planned Unit Development (PUD)
Present Land Use Oesignation:Residential Low Density Requested Land Use Designation Residential Low Density
Existing Use of Property:Single Family Residence
f]Ctrect oox it separate nanalive is attached
@Oay Review Date: _
Section 3: Property Owner and Applicant lnformation
APPLICAI{T OTHER THAN PROPERW OW{ER: ln signing this application, l, as applicant, represent to have obtalnod
authorization from the property owner to file this application. I agree to be bound by conditions of approval, sub.iect only to
the right to object at the hearings on the application or during the appeal period. lf this application has not been signed by
the prop€rly owner, I have attached separate documentation of full leg6l capacity to file the application. This application
should be processed in my name and I am th€ party whom the City should contact r€garding any matter p€rtaining to this
application. I will ke€p m)rsetf informed of the deadlines for submission of material and the progress of this application. I
further understand that addfional fees may be charged for consulting fees, feasibility studi6s, etc. with an estimate prior to
any authorization to proce€d wfi the study. I certify that the infomation and exhibits submitted are true and conect.
Name:Contact:
Phone:Address:
City/Statezip:
Email:
Cell:
Fax:
Signature Date:
PROPERTY OWNER: ln signing this application, l, as property owner, have tull legal capacity to, and hereby do,
authorize the filing of this application. I understand that conditions of approval are binding and agree to b€ bound by those
conditions, subject only to the right to ob.lect at the hearings or during th6 appeal periods. I will keop mysetf infomed of
ths deadlines for submission of material and the progress of this applicatjon. 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 lhe
study. I certify that the information and exhibits submitted are t ue and conect.
Name:Mary Jane Brown, Member Beach Road, LLC Contact:Jana Brrnrnr
(9s2) 201-2568Address:790 Santa Vera Dr Phone
city/statezip:Chanhassen, MN 55317 Cell:
Fax:
(952) 201-2568
Email jane.com / mjbrown8ggo@gmail.com
Signature L-Li-.oale 6123120
PROJECT ENGINEER (rf applicable)
Contact:
Phone:
Cell:
Fax:
Who should receive copies of staff reports?
EI Property Owner Ma:Email
Email
Email
tr
Dtr
Mailed Paper Copy
Mailed Pap€r Copy
Mailed Paps Copy
Applicant
Engineer
Other'
Ma:
Via:
Address:
INSTRUCTIONS TO APPLICANT: Complete all necossary form fislds, then solect sAvE FoRM to save a copy to your
device. PRINT FORM and dsliver to city along with required documents and payment. SUBMIT FORM to send a digital
copy to the city for processing
SAVE FORTI PRINT FORM SUB}IIT FORM
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 appopriate Application Ch€cklisl
and confer wilh the Planning Department to determine the sp€cmc ordinance and applicabl€ procsdural
r€quirements and f€es.
A determination of completeness of the applicatbn shall be made within 15 busin€ss days of applicadon submittal. A
written notice of application deficiencies shall be mailed to the applicant within 15 business da)rs of apdication.
Ma: E Email E Mail€d Paper Copy
No-o.
Add*o.
Crty/Statezip:
E-oil.
Section 4: Notification lnformation
'Olrrer Contac-t lntormatlon:
No-o
-
City/Statezip: _
Email: _