Development Review Application COMMUNITY DEVELOPMENT DEPARTMENT
anningd Division—P.O. 147, Chanhassen,
CITY OF CHANHASSEN
Mailing Address— .O.Box 147, Chanhassen,MN 55317
Phone:(952)227-1100/Fax:(952)227-1110
APPLICATION FOR DEVELOPMENT REVIEW
Submittal Date: PC Date: CC Date: _ 60-Day Review Date.
Section 1: Application Type(check all that apply)
(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
❑ Create over 3 lots $600+$15 per lot
❑ Conditional Use Permit(CUP) (___lots)
❑ Single-Family Residence $325 ❑ Metes&Bounds(2 lots) $300
❑ All Others $425 ❑ Consolidate Lots $150
❑ Interim Use Permit(IUP) ❑ Lot Line Ad' tment $150
Final Plat. v �i$700
❑ In conjunction with Single-Family Residence..$325 ❑ r w�L f
❑ All Others $425 (Includes 5w syrow for attorney costs �1* 1
'Additional escrow may be required for other appfica�s
through the development contract.
❑ Rezoning(REZ)
❑ 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 $100
Plus$10 per 1,000 square feet of building area:
( thousand square feet)
'Include number of eristinq 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
( 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 �F
TOTAL FEE: —O —
Section 2: Required Information
Description of Proposal: Final Plat approval
Property Address or Location: 6480 Yosemite
Parcel#: 250033500 Legal Description: $TH WLY PARALLEL WITH S LINE SE1/4 NE1/4 281.07'TH NELY
Total Acreage: 2.81 Wetlands Present? ❑Yes 0 No
Present Zoning: Rural Residential District(RR) Q Requested Zoning: Single-Family Residential District(RSFa
Present Land Use Designation: Residential Low DenCI Requested Land Use Designation: Residential Low DensityI
Existing Use of Property: Residential
❑Check box if separate narrative is attached.
CITY Of CHANttRSSEN
RECEIVED
FEB 2 6 2021
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: Contact: I 4:5t.
Address: Phone: -
City/State/Zip: Cell: -
Email: Fax:
Signature: 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: Kenneth and Barbara Ashfeld Contact: Ken Ashfeld
Address: 6480 Yosemite Ave Phone: (763)477-6912
City/State/Zip: Excelsior, MN 55331 Cell: (763)477-6912
Email: ' kashfeld@maplegrovemn..A.i I Fax:
�
Signat "� WAILWAIIII1Arar Date: Ol i 1.0Z'
This application must be completed in full and must be ac..mpanied by all information and plans required by
applicable City Ordinance provisions. Before filing this ap lication, 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 deficiencies shall be mailed to the applicant within 15 business days of application.
PROJECT ENGINEER(if applicable)
Name: Loucks Associates Contact: Todd McLouth
Address: 7200 Hemlock Lane Phone: (763)424-5505
City/State/Zip: Maple Grove,MN 55369 Cell: (612)207-2986
Email: TMcLouth@loucksinc.com Fax:
Section 4: Notification Information
Who should receive copies of staff reports? `Other Contact Information:
0 Property Owner Via: El Email ❑Mailed Paper Copy Name:
Q Applicant Via: ❑r Email ❑Mailed Paper Copy Address:
Engineer Via: ❑r Email ❑Mailed Paper Copy City/State/Zip:
❑ Other* Via: ❑Email ❑Mailed Paper Copy 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