Development Review ApplicationCOUIUNITY DEVELOPMENT DEPART ENT
Planning Division - 7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-1100 / Fax: (952) 227 -'1110
Submrttal Dale: '
*
CruOTCHAI{HASSIN
APPLICATION FOR DEVELOPMENT REVIEW
+()PC Dale D * *r.' I d 60-Day Review Date
(Reler lo tl7€ qqopride Applicalbn Che*lisl for requircd submittal hlofinatioa lhat mus, a@n$any this application)
! Comprehensive Plan Amendment...................
E Minor MUSA line for failing on-site sewers
E Conditional Use Permit (CUP)
Subdivision (SUB)
E Create 3lots or |ess.........
D Create over 3 lots.............
(
El Metes & Bounds (2 lots)...ntrtr
E Wetland Alteration Permit (WAP)
E Single-Family Residence......! ett omers.......
E zoning App€al
E Zoning Ordinance Amendment (ZOA).......
lots)
Consolidate Lots.............................
Lot Line Adjustment.........................:::.:.::.:.
Final P|at...............
(lncludes $450 €scrow for attomey costs)'
'Additk rEl sscrot'v may b€ tsquited for othe, epplac€lbrrs
throwh he devslopln€i{ contrad.
Vacation of Easements,/Right-of-way (VAC)........ $300
(Additional rccodirE f€es may apply)
Variance (VAR).... .................. $200
$600
$100
tr
fi tnterirn Use Permit (lUP)
E ln coniunction with Single,Family Residence.. $325
E All Others....... .................... $425
! Rezonins (REz)
tr
D
Single-Family Residence
All Others........................
Planned Unit Development (PUD) .
Minor Amendment to existing PUO
All Others..............
tr!!
....... s750
....... $100
....... $500
tr
trtr
tr
Sign Plan Review.. ................... $ 1 50
Site Plan Revie$, (SPR)
E Administrative. ................... $1OO
E Commerciaulndustrial Districts'...................... $5OO
Plus $10 per 1,000 square feet of building area:( thousand square feet)
'lnqlude number ot g!i.g!Eg employees: _
'lrlclude number ot !e! employoes:
I Residential Districts......................................... $5OO
Plus $5 per d,velling unit ( units)
!gIE: When mulliple spplic6lions .r€ proca€3€d coicurrendy,
th€ app.opriate lee shall be cha,g€d for cach appllcadon.
$1s0
$275
$100
$500
... $200[ ruomcation Sign (city to i.Etatt and remo,re] ...................
E Property Owners' List within 500' (cty to generate after pre-appticarbn meeung)
.! Escrow for Recording Documents (check all that aooly)..............................' E Conditional Use Permit E inferim Use permil
E Vacation E VarianceE Metss & Bounds Subdivision (3 docs.) E] Easements (_ea sem€nts)
$3 per address
addresses)
......................... $50 per documentE Site Plan AgreementE Wetland Alteration Permito*r|ff'lZr,l eq'^
Section 1: Application Type (check all that apply)
Section 2: Required lnformation
Oescription of Proposal:
Property Address or Location
pa,,cet*, 2fO3{12@
totat ecreage: 4. 1,1
Legal Description:
Wetlands Present?p ves D r.to
a
-ff,3
Present Zoning Select One
Present Land Use Desig
Existing Use of Property
nation. Select One
Echeck box if separate nanative is attached
Requested Zoning . Selecl One
Requested Land Use signat ;on. Select One
r
\
J/s/ l
$150
$150
$700
$325
$425
Seclion 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 object 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 of full legal capacity to lile the application. This application
should be processed in my name and I am the party whom the City should contacl regarding any matter perlaining to this
application. I will keep myself informed of the deadlines for submission of material and lhe 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 lo proceed with the study. I certify that the information and exhibits submitted are true and correct.
Address
Name
Name
Contact
Phone:
city/state/zip
Email:
Cell
Fax
cell
Fax
Signature Date:
PROPERTY OWNER: ln signing this application, l, as properly owner, have full legal capacity to, and hereby do,
authorize the Iiling of this application. I understand that conditions of approval are binding and agree to be bound by those
conditions, subiect 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 eslimate prior lo any authorization to proceed with the
study. I certify lhat the information and exhibits submitted are true and correct.
Name
Address
City/State/zip
PROJECT ENGINEER (if applicable)
,.Phone;
Cell
oalr,: H.^ /-,h,%
Address:
Citylstatezip
Email:
^0*
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 defciencies shall be mailed to the applicant within 15 business days of application.
who should receive coPios of statt rcPorts?
iltr
rottE Corltac't lnformatl,on:
Name:
Address:
City/State/;ziP
Property Owner Via:
Applicant Via:
Engineer Via:
OtheF Ma:
! Maibd eaper Copy
! Maileo Paper copy
! Mailed Paper copy
E tuaiteo Paper copyD
D Email:
INSTRUCTIONS TO APPLICANT: Complete all necessary
affiniNt Fontt ano oetiver to city along with required
form fields. then select SAVE FORM to save a copy to your
L documents and payment. SUBMIT FORM to ssnd a digital
copy to the city for Processing SAVE FORM PRINT FORM SUBi,llT FORM
Email:
Signature:
contact
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Contact: _
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Section 4: Notification lnformation
D!
D
D
Email
Email
Email
Email