Development Review ApplicationY//
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6lrx! e: APPLICATION FOR DEVELOPMENT REVIEW A ' I
sr.F:*ar Dare.'*-'E!+*ilo- "" *"-j.:9."- ;;;-ggEi-t 6GDav Re,ie* *teg=4-
(Refer to lhe awo$iele Applicdbh chccmst lot E,quiad submital i,:/o,,7r|allm thel mud a&omparly lhis adication)
! Comprehensive Plan Amendment...
E Minor MUSA line for failing on-site sewers ...
E Conditional Use Permit (CUP)
E SingleFamily Residence..............................
E All Others.........
fl lnterim Use Permit (lUP)
E ln coniunction with Single.Family Residence
E A[ others.........
fl Rezoning lRez;! Planned Unit Development (PUD) ................
E Minor Amendment to existing PUD...............
! A orhers........
E Sign Plan Review...................
D Subdivision (SUB)
E create 3 lots or less
E create over 3 lots ...
D Site Plan Review (SPR)
! Administrative. ....... .. ..'.... $100
D Commerciaulndustrial Districis'...............-...... 5500
Plus $'10 per 1,000 square feet of building area:( thousand square feet)
'lndude number ofglELtq employees:
-
'lndude n8ber of 49q emPloYees:
E Residential Oistricls............................ ............ $500
Plus $5 per dwelling unit ( units)
E Notitication Sign (city to irEtalland remove).........-....... " '
E Property Owners' List within 500' (City to generab anet preapplicstion rEeing)
( lots)
D Metes & Bounds (2 lots)............
E Consolidate Lots..... . ........ .
D LotLineAdiustmen1............ ........
D Final P|at.........
(lncludes S45O escrow for attomey costs)'
;Additonal es6ow may b€ required for other apdicaUons
through ttle develoPment contrad.
! Vacation of Easements,/R€ht-of-way (VAC)
(Additronal recordirE fees may apply)
E Variance (VAR)
! Wetland Alteralion Permit (WAP)
E Single-Family Residence ..... ........ . ....
E Att others........
E Zoning Appeal.
E Zoning Ordinance Amendment (ZOA).........
$3 per address
( ?z addresses)
..................,.... $50 per document
D Site Phn Agreement
n Wetland Atteration Permit
E Deeds
TOTAL FE
!q!Ei Yl,ihen mulupl€ .pplications a,e proco+ted coicu,rendy,
the approp.ids lre shall be ch.rgod for each application.
$600
$100
$325
9425
$325
$425
$750
$100
sso0
$1s0
s300
$200
s150
$275
$100
$500
$200
E] Esffow for Recording Oocuments (check allthat apply) . .. -fl conditional Use Fermit D lnterim Use Permit
Ei vacation fl Variance
I u*es a Bounds subdivision (3 docs.) ! Easements 1- easements)l<r
e (check all that aPPIY)Section 1: Application TYP
Section 2: Required lnformation
Description of P.oposal: Replace / Reconfigure Existing Boulder Retaining Wall variance
6609 Horseshoe Curve, Chanhassen, Minnosota 55317
Parcel #:
Residential250550010Legal Description
Present Land Use Designation
0.64 Wetlands Present?
Single Family Rssidential Districl (RSF)
Select One Requested Land Use Designation Select One
Total Acreage:
Present Zoning
EYes ENo
Requested Zoning Select One
Existing Use of Property:Residential
Echeck box if separate nanative is attached
COMMUNITY DEVELOPMENT DEPARTMENT
ptannino Division - 7700 Market Boulevard
i,taiting
-Aaoress - p.O. Box 147. Chanhassen, MN 55317
Phonet (952\ 227-1100 I Fax. 1952\ 227-1110
Property Address or Location:
Owner and APP|icant lnformationSection 3: Property
APPUGANToTHERTHANPRoPERTYowNER:lnsigningthisaPplication.|.asapplicant.representtohaveobtained
aurhorization ftom ," p.p"rty o*nriti, or" itriilipil*ti'"n. iagree io be bound bv conditions of approval' subiect only to
the right to object at tne nearings onl appii"ation or ouring th; appeal oeriod. lf ihis application has not been signed by
the property owner. r nare aracneo'se;;i;;;;.;"i;iioriot full ligal ;apacitv to file the application This application
shourd be processed in ,y n"r"
"n-o-iJ,r-it'.
prrtv "t". tt'" city s[ould tontia regarding any matter pertaining to this
aootication. I wi1 keep mysetf int"#J "i
tf'"-6i"-"Oiines for submilsion oimaeriat an-a tne progress of this application' I
furiher understand rt
"t "aoirion"r
r*!lri;;;;E; k;
";nsuhing.fees
feasibility studies' etc with an estimate prior to
any authorization to proceeO w1;r tnliirJi.-Ljiiifi tfr"t rf'L informition and exhibit! submitled are true and correct'
Name
-7. Enr.v1.a-- t Es-
Address:uuDq V th-l
c M N ,f! r-7 Cell:
Fax:
(.lL'L.r'r1 q
City/State/zip t
Email glbran,r PA -l-v-ra.'l. (.../t
Signature:Date:tz-/rsk z-
PROPERTY OWNER: ln signing this application, l, as property owner, have full legal capacity to' and hereby do'
authorize the fiting of tnis appticationl t ['nO""t"nO'tt "i "oi1ditions
of approval are 6inding and.agree to be bound by those
conditions, subject onty to the right i; ;d; ;i th; heirlngs or Ouring.i# appeal penods: I will keep mysetf informed of
the deadtines for suumission ot matJriatlno tt'" p.G"J; thi" appiication. l further understand thal additional fees mav
O. "n"id for *nsutting fees, feasiOir,tyiirii*i"iJ- *irr, an estimlte prior to any authorization to proceed with the
study. icerlify that the information and exhibits submitted are true and conect'
Name EI;v'u Contact:
Address: U o rh,, a Phone:
City/Statezip c ^^ Aal Y<.^lvlN ,t3 r'1 Cell:
Fax:
1S L- 1r7-LL./ j
Email: e rn \ri a-1 h6+Jw!-i ( - Co t,".-.
Date:I z_l tq/t t.
PROJECT ENGINEER (if applicable)
Name:
Address:
Contact:
Phone:
City/Statezip:
Email:
Cell
Fax
Who should receive copies of staff reports?'Other Contact lnformation:
Property Owner Via:AppllEnt Via:Engineer Via:Othef Va:
aa Email
Email
Email
Email
E Mailed Paper copy Name Travis Van Liere
atr
Mailed Paper Copy
Maaled Paper Copy
Address 21 1 N 1st St #350
City/Slatefzip:
Email:
INSTRUCTIONS TO APPLICANT:Complete all necessary form fields, then select SAVE FORM to save a coPy to your
device. PRINT FORit and deliver to city along with required documents and payment. SUBMIT F ORM to send a digital
copy to the city for processing.
SAVE FOR PRINT FORiIi SUB ]T FORH
A determination of completeness of the application shall be made within 15 business days of application submittal. A
writien notice ot applicaiion deliciencies shall be mailed to the applicanl within 15 business days of application.
nformation
appropriate
redandlansallberequed bymandStpuaccompanlbyicationUmbestThsapp istheckCtheloreferApplicationfithSrovtstonSBeforelingapplicationp
raluleordandnancermdeteneprocedthetoapplicabrtmentspecificn9Depa
applicable City Ordinance
and confer with lhe Plann
requirements and Ees.
tra A Mailed Paper copy
MN 55401
Contact:
Phone:
n^7 Pr--
Signature:
Section4: Notificationlnformation
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