Development Review ApplicationCOMMUNITY DEVELOPMENT DEPARTMENT
Planning Division — 7700 Market Boulevard 1* P� CiffHEN
CHMNS
Mailing Address — P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-1100 / Fax: (952) 227-1110
APPLICATION FOR DEVELOPMENT REVIEW
Submittal Date: QLa PC Date: Q I CC Date: 60-Day Review Date:
SectionApplication Typeapply)
(Refer to the appropriate Application Checklist for required submittal information that must accompany this application)
❑
Comprehensive Plan Amendment .........................
$600
❑ Subdivision (SUB)
❑ Minor MUSA line for failing on -site sewers .....
$100
❑ Create 3 lots or less ........................................ $300
El
Conditional Use Permit
❑ Create over 3 lots .......................$600 + $15 per lot
(CUP)
( lots)
❑ Single -Family Residence ................................
$325
❑ Metes & Bounds (2 lots) .................................. $300
❑ All Others.........................................................
$425
❑ Consolidate Lots..............................................$150
❑
Interim Use Permit (IUP)
❑ Lot Line Adjustment.........................................$150
❑ Final Plat
❑ In conjunction with Single -Family Residence..
$325
.......................................................... $700
(Includes $450 escrow for attorney costs)*
❑ All Others.........................................................
$425
*Additional escrow may be required for other applications
❑
Rezoning (REZ)
through the development contract.
❑ Planned Unit Development (PUD) ..................
$750
❑ Vacation of Easements/Right-of-way (VAC)........ $300
❑ Minor Amendment to existing PUD.................
$100
(Additional recording fees may apply)
❑ All Others.........................................................
$500
Variance (VAR) .................................................... $200
❑
Sign Plan Review ...................................................
$150
❑ Wetland Alteration Permit
(WAP)
❑
Site Plan Review (SPR)
❑ Single -Family Residence ............................... $150
❑ Administrative..................................................
$100
❑ All Others....................................................... $275
❑ Commercial/Industrial Districts* ......................
$500
❑Zoning Appeal
Plus $10 per 1,000 square feet of building area:
...................................................... $100
( thousand square feet)
`Include number of existing employees:
Zoning Ordinance Amendment (ZOA)................. $500
*Include number of new employees:
❑ Residential Districts .........................................
$500
NOTE: When multiple applications are processed concurrently,
Plus $5 per dwelling unit units)
(
the appropriate fee shall be charged for each application.
Notification Sign (City to install and remove)...................................................................................................................... $200
Property Owners' List within 500' (City to generate after pre -application meeting) .................................................. $3 per address
( 14 addresses)
❑ Escrow for Recording Documents (check all that apply) ..................................... ........................... $50 per document
❑ Conditional Use Permit ❑ Interim Use Permit ❑ Site Plan Agreement
❑ Vacation ®. Variance ❑ Wetland Alteration Permit
❑ Metes & Bounds Subdivision (3 docs.) ❑ Easements (_ easements) ❑ Deeds q
TOTAL FEE:
Section 2: Required Information
Description of Proposal: Je, AkwkZ&
Property Address or Location:
Parcel #:
Total Acreage:
Mal 66,eec4
Legal Description: ./��• ��.
Wetlands Present? ❑ Yes ❑ No
Present Zoning: Select One Requ&Pyested Z�oning: Select One
Present Land Use Designation: Select One L �/1�0� "Iqii;'?1`Cand Use Designation: Select On
Existing Use of Property: S lit-e_ 4m> w ru"t U e ,, t 411 RECEIVED
Check box if separate narrative is attached.
DEC 31 2020
SCAB 415) CHANHASSEN PLANNING DEPT
Section 3: Property Owner and Applicant Information
APPLICANT OTHER THAN PROPERTY OWNER: In signing this application, I, 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. If this application has not been signed by
the property owner, I have attached separate documentation of full 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: /�'I (.il S�/ Ve-cf-k Contact:
Address: 4 teCWr 6L �P Phone: l 2- `Z
City/State/Zip:
Cell: F
Email C /ZCL (/eC " C2` `oz riv Z, C llh Fax:
Signature: - -4V6 Date:
PROPERTY OWNER: In signing this application, I, as property owner, have full legal capacity to, and hereby do,
authorize the filing of this application. I understand that conditions of approval are binding and agree to be bound by those
conditions, subject 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 submitted are true and correct.
Name: :54-Aul Contact:
Address: Phone:
City/State/Zip: Cell:
Email: Fax:
Signature: Date:
PROJECT ENGINEER (if applicable)
Name:Contact:
Address: Phone:
City/State/Zip: Cell:
Email: Fax:
Section 4: Notification Information
Who should receive copies of staff reports?
[- Property Owner Via: Email ❑ Mailed Paper Copy
❑ Applicant Via: ❑ Email ❑ Mailed Paper Copy
❑ Engineer Via: ❑ Email ❑ Mailed Paper Copy
❑ Other* Via: ❑ Email ❑ Mailed Paper Copy
*Other Contact Information:
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. 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