Development Review ApplicationPC tZ]<)-.)
COMMUNTTY DEVELOPMENT DEPARTMENT
Planning Division - 7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-1100 t Fax (952) 227-1110
Submittal Date
CITYOTCIINIIASSII{
APPLICATION FOR DEVELOPMENT REVIEW
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Section 1: Application Type (check all that apply)
(Refer to the aryWdate A$icatim Checuist lor rcquiod submittal intomdtion thdt must ffimpany this appticalion)
E Qrmprehensive Plan Amendment......................... $600 E Subdivision (SUB)
E MinorMUSA line for failing on-site sewers,....$100 ! Create 3 tots or tess .........E Create over 3 lotsE Conditional Use Permit (CUP)
E Single-Family Residence................................ $325E All Others...... ......................$425
lnterim Use Permit (lUP)
! ln conjunction with Single-Family Residence.. 9325E All Others...... ......................$425
Rezoning (REZ)
E Planned Unit Development (PUD) .................. $750E Minor Amendment to existing PUD................. $100! nt Others...... ...................... $500
Sign Plan Review................................................... $150
Site Plan Review (SPR)
.. .. . .. . .....$600 + $15 per lot( lots)
Metes & Bounds (2 lots)$300
Consolidate 1ots....,......................................... $'150
Lot Line Adjustment......................................... $150
Final Plat............. ................. $700
(lncludes $450 escrow for attomey costs)-
'Additiooal escrow may be rsquired ior other applications
through the developnent conlract.
E Vacation of Easements/Rightof-way (VAC)........ $300
(Additional r8cording b€s may apply)
E Variance (VAR).................................................... $200
ntr!tr
.. $300
... $1s0
...$275
... $100
$s00
$200
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fl Wetland Alteration Permit (WAP)
E Single-Family Residence......E Rtt otners......E Administrative ......... $100E Commercial/lndustrial Districts'.............,.-..-... $5OO
Plus $ 10 pe|1 ,000 square feet of building area:( thousand square feet)
'lnclude number of gllslDg employees:
'lnclude numbor of49! employees:
E Residential Districts......................................... $500
Plus $5 per dwelling unit ( units)
Notification Sign (City to install and remove) ..........................
I Zoning Appeal........................................
E Zoning Ordinance Amendment (ZOA)...
EIE: When multplg applications a.o procassad concur.ontly,
the appropriate f6e shall be charged for each application.
Z
Z Property Owners' List within 500' lCity to generate afrer pre.apprication meeting) .........-..:.-... --#;;;", $f,9, ,OAr"..
Escrow for Recording Documents (check all thal apply). . . . . . . . . ..................$50perdocument
! Conditional Use Permit E lnterim Use Permit E Site Plan Agreement
E Vacation E Variance E Wetland Alteration Permit
E Metes & Bounds Subdivision (3 docs. ) E Easements ( easements) E DeeOs,
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EasE"'E".r' io'iiii#sr r
Section 2: Required lnformation
Oescription of Proposal
7016 Oakota Circle, Chanhassen, MN 55317Property Address or Location
Parcet #: 252300090 Legal Description Lot 17, block I, Colonial Grove at Lotus Lake
0.32 Wetlands Present? E Yes E uo
Single-Family Residential District Requested zoning Single-Family Residential District (f
n31i6n. Residential Low Der Requested Land Use Desig nation Residential Low Densi
Total Acreage:
Present Zoning
Present Land Use Deslg
Existing Use ot Property Single Family Residential Home
Echeck box if separate narrative is attached
Section 3: Property Owner and Applicant lnformation
APPLICANT OTHER THAN PROPERTY OWNER: ln signing this application, l, 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 ob.iect at the hearings on the application or during the appeal period. lf this application has not been signed by
the property owner, I have attached separate documentation offull legal capacity to file the application. This application
should be processed in my name and I am the party whom the City should contact regarding any matter pertaining to this
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:
Phone:Address
City/State/Zip:
Email:
Cell:
Fax:
DateSignature
PROPERTY OWNER: ln signing this application, l, as property owner, have full legal capacity to, and hereby do,
authorize the flling of this application. I understand that conditions of approval are binding and agree to be bound by those
conditions, sub.iect only to the right to object at the hearings or during the appeal periods. 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 submifted are true and correct.
Name Contact:
Address 7016 Dakota Circle
Chanhassen, MN 55317 Cell 952.215.7418
Email:
Signat
dacrosser@gmail.com Fax
Date: I z-2a'20ure
This application must be completed in full and must be accompanied by all information and plans required by
applicable City Ordinance provisions. Before filing thas application, refer to the appropriate Applicetion 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 submiftal. A
written notice of application deficiencies shall be mailed to the applicant within 15 business days of application.
PROJECT ENGINEER (if applicable)
Name: Land Surveyor
"onOO.
Eric Undgren
Phone: 952.223.0063
Cell:
Fax:
@ Property Owner Via: E Email
n Applicant Via: ! Email
! Engineer Via: E Email
E othef Via: E Emait
! uaited Paper copy
E ttaiteo Paper Copy
E uaiteo Paper Copy
E ttitaiteo Paper Copy
Who should receive copies of staff reports?.Other Contact lnformation:
Name
Address:
City/State/Zip
Email:
INSTRUCTIONS TO APPLICANT: Complete all necessary form fields, then select SAVE FORM to save a copy to your
device. PRINT FORM and deliver to city along with required documents and payment. SUBMIT FORM to send a digital
copy to the city for processing.
SAVE FORM PRINT FORM SUBMIT FORM
David Crosser
City/State/Zip:
David Crosser
Dh^^o
-
Add"o""
City/State/Zip:
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Section4: Notification lnformation