Development Review ApplicationPc J4f,r)-|1
COMMUNITY DEVELOPMENT DEPARTMENT
Planning Division - 7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-1 100 / Fax: (952\ 227-1110
APPLICATION FOR DEVELOPMENT REVIEW
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CruOTCIIAI'IIIASSII'I
60-Day Review Dare: lD I 13 lac>
Section 1: Application Type (check all that apply)
(Refet to the app.opiate Applicdtion Checklist tot requied submiltal intomation that must accornpany lhis application)
I Comprehensive Plan Amendment......................... $600
E Minor MUSA line for failing on-site sewers ..... $100
E Conditional Use Permit (CUP)
E Single-Family Residence ................................ $325
E lt otners...... ....................... $425
E lnterim Use Permit (lUP)
E In conjunction with Single-Family Residence.. $325
E subdivision (suB)
! Create 3 lots or less $300
Planned Unit Development (PUD) .....
Minor Amendment to existing PUD....
All Others.............
! Sign Plan Review..
E Site Plan Review (SPR)
E Administrative..............
Create over 3 |ots.......................9600 + 915 per lot( lots)
Metes & Bounds (2 lots)..................................$300
Consolidate Lots..............................................$150
Lot Line Adiustment.........................................$150
Final P1a1............. ................. $700
(lncludes $450 escrow for attomey costs)'
'Additional escrow may be required for other applications
through the developmeni contract.
E Vacation of Easemenis/Right-of-way (VAC)........ $300
(Additional reco.ding fees may apply)
ff variance ryaR).................................
E Wetland Alteralion Permit (WAP)
E Single-Family Residence...........$150
$27sE lt otners..................
E zoning Appeal
I Zoning Ordinance Amendment (ZOA)
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E ett others...............
n Rezoning (REz)
........ $425
.. $7s0
.. $1oo
$s00
$150
$100
$500
$200
E Commercial/lndustrial Districts'
Plus $10 per 1,000 square feel of building area:( thousand square feet)
'lnclude number of elslEg employees
'lnclude number of 49q employees:
.. $100
.. $500
E
(
d
E Residential Districts...........s500 !gIE: When multiple applicatlons are processed concuFently,
lhe appropriate fee shall be charged for each applicatlon.
Plus $5 per dwelling unit ( units)
Notification Sign lcity to instatt and remove)$200
Property Owners' List within 500' (city to generate afrer pre€pplication meeting) . - . . . . . . . . . . r: . . . . . .'. $3 per address(Zu addresses)
Escrow for Recording Documents (check all thal apply)................................................ $50 per document
E Site Plan Agreement
E Wetland Alteration Permit
E Deeds
TOTAL FEE:
n Conditional Use Permit
E VacationE Metes & Bounds Subdivision (3 docs.)E Easements (- easements)"il
lnterim Use Permit
Variance
Section 2: Required lnformation
Parcel #Z(, oqootoo
q I Kiowr. Tnn
Total Acreage 0.bq Wetlands Present?
Present Zoning:Rel t (^rlT
Present Land Use Designation:Requested Land Use Designation:
-
Legal Oescription:lo 0t l,trf I b 0T
E
ffives E No
Requested Zoning
I AUG 1.4 2020
CHANHASSEN PI.AIIIJIiIG DEPI
/
ffiCnect box if separate nanative is attached
SubminalDate:
Description of Proposal:
Property Address or Location:
CW OF CHANHASSEN
Existing Use of Property:
Section 3: Property Owner and Applicant lnformation
APPLIGANT OTHER THAN PROPERTY OWNER: ln signing this application, l, as applicant, represent lo have obtained
aulhorization from the property owner 10 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. lf this application has not been signed by
the properly owner, I have attached separate documentation of full legal capacrty to file the application. This application
should be processed in my name and I am lhe party whom the City should contact regarding any matter pertaining to this
application. I will keep myself informed of the deadlines fo, submission oF material and the progress of this applicalion. I
funher undersland 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 lhe information and exhibits submitted are true and correct.
Name:)erz' l(fi Pt LLJ_conracr: ftO.4r- 0all0re
nooress: 7l? q AFT>N ft.tO Phone l.tl-.iLtz-fl4'7
Cily/Stale/Zip:Wo 0dn-Y hN Z5
Email U-
Cell:
Fax:
Date
Cell:
Fax:
Date
Cell:
Fax'.
b I ,i'r . t4
Signaturei 2z
PROPERTY OWNER: ln signing lhis application, l, as property owner, have full legalcapacity to, and hereby do,
authorize the filing of this application. lunderstand that conditions of approval are binding and agree to be bound by those
condilions, subjecl only to the right to object at the hearings or during the appeal periods. I will keep myself informed of
lhe 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 estimale prior to any authorization lo proceed with the
study. I cerlify that lhe information and exhibits submitted are true and correct.
N" ", Sfxo? n+o eaqlp Corc conaa. Eb Gatrt
Addrcss qslt 0w* Tetc ,non", (6sl aS9^azs
sgeN AP 5€317cily/stare/zip:
Email: d .f{Q ,{tA;l"CaYt
sig nalure: .Zo Z,
This application must be compleled 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 coffer with the Planning Department to determine the specific ordinance and applicable procedural
requirements and fees.
A determination of compleleness of lhe 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:
Address:
Conlact:
Phone:
City/State/Zip:
Email:
Sectlon 4: Notlfl catlon lnformatlon
Who should receive copies of staff reports?
ffitr ffi
Email
Email
Email
Property Owner ViaApplicant ViaEngineer ViaOthef Via
fi vaileo Paper Copy
Q uaiteo Paper Copy
Ll tuailed Paper Copy
fl uaileo Paper Gopy
City/State/Zip:
Email:
Address
I email
INSTRUCTIONS TO APPLICANT: Com plete all necessary form fields, then select SAVE FORM to save a copy to your
SUBMTT FORM to send a digitaldevice. PRIHT FORM and deliver to city along with required documents and payment
copy to the city for processing.T PRINT FORM SUBMIT FORM
*Other Contact lntormation:
Name:
SAVE FORM