Development Review Applicationoo.
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COMMUNITY DEVELOPMENT DEPARTMENT
Planning Division - 7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952\ 227-1 100 / Fax: (952) 227-1110 *
CIflOTCIINIIASSII'I
CC Date:SubmittalDate PC Date
E lnterim Use Permit (lUP)
n ln coniunction with Single-Family Residence.. $325
60-Day Review Date:
! Lot Line Adjustment......
! Final P|at........
(Refet to the apryopiate Adicdion Checkiist lot Dquircd submi(al inlomation that must accompany thB application)/
I Comprehensive Plan Amendment......................... $600 Z Subdivision (SUB)
E MinorMUSA line for failing on-site sewers.....$100 ' ! Create 3lotsorless
E conditionat use permir (cup) Eacreate over3'ot"'L'-:'i;i;i tuoo
! Single-Family Residence ................................ $325 Z Metes & Bounds (2 lots)_..................E All Others....... .................... $425 /n Consolidate Uots.................................
............ $300
+ $15 per lot
@
. $150
. $150
. $700
! At otners.
! Sign Plan Review................................................... $150
E Site Plan Review (SPR)
E Administrative .................... $100
E commercial/lndustrial Districts*$s00
Plus $10 per '1,000 square feet of building area( thousand square feet)
'lnclude numb6r of qlslE2g employees:
'lnclude number of @g employees:
Residential Districts.....................
Plus $5 per dwelling unit (-
dd
E Planned Unit Development (PUD) .
E Minor Amendment to existing PUD
Description of Proposal:
Property Address or Location:
Notification Sign (City to install and remove)
Property Owners' List within 500' (city to generate after preapplication meeting).
(lncludes $450 escrow for attorney costs)*
'Additional escrow may be required for other applications
thmugh the developmgnt contract.
! Vacation of Easements/Right-of-way (VAC)........ $300
(Additional recording fe€s may apdy)
E Variance (VAR).................................................... $200
E Wetland Alteration Permit (WAP)
! Single-Family Residence............................... $150
E Al Otners....... ................... $275
E zoning Appeal............... $100
E Zoning ordinance Amendment (ZOA)................. $500
MIE: When multiple applicationE .r. procass.d concurently,
the appropriate fee shall bs chargod for oach appllcation.
.............. $3 Per address
addresses)
lnterim Use Permit Site
. $50 per document
Agreement
etl an d ratio n Perm it
Deed s
T o T AL F E
l-zI\rJ 533
E Att others....
! Rezoning (REZ)
Parcel #
$425
...... $750
...... $100
...... $500
'.................'.. s500
units)
Escron lor Recording Documents (check all that ap/ E Condilional Use Permit !
ply)........
P an
fl Vacation E Variance
E Metes & Bounds Subdivision (3 docs.) E Easements (- easements)E
oo- er}^o\vti t\
Legal Description
Wetlands Present? !CS No
c
Total Acreage:
Present Zoning Select One
Present Land Use Designation:ect One
Select One k ,'.ha+'O
Requested Land use grpgo6Tt5pirfiHffb8F-
Section 1: Application Type (check all that apply)
ECheck box if separate nanative is attached.APR 0 5 202t
p
Section 2:lnformation
APPLICATION FOR DEVELOPMENT REVIEW
@
o
Requested Zoning:
Exisling Use of Property:
CHANHASSEN PI-ANNING DEPI
Section 3: Property Owner and Applicant lnformation
APPLICANT OTHER THAN PROPERTY OWNER: ln signing this application, l, as applicant, represenl to have obtained
authorization from the property owner to ,ile 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 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 additionalfees may be charged for consulting fees, feasibility studies, etc. with an estimate prior to
any authorization to proceed with the study. I ce ify that the information and exhibits submitted are true and correct.
city/state/zip:
Email:
Signalure:
Cell:
Fax:
Date
PROPERTY OWNER: ln signing this application, l, 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 submifted are true and correct.
Contact:
Phone:
J.^4vContact
Phone:^-r-furrrqqAddress
City/State/Zip:
Or
OJ
Cell
Fax
Email:o
Signatu re
PROJECT ENGINEER (if applicable)
Name:
Date:
Contact
Phone:
City/State/Zip:
Email:
I
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 compleleness of the application shall be made within 15 business days of application submittal. A
wriften notice of application deficiencies shall be mailed to the applicant within 15 business days of application.
This appli must be com
Section 4: Notification lnformation
Who should racoiva cop
{Prcpeay owner Via:
E Applicant Via:
! Engineer Via:
! other via:
'Other Contact lnformation :
Name: Sor"re- ds I€-l
Address
City/State/Zip
Email:
INSTRUCTIONS TO APPLICANT: Com plete all necessaryform 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
SAVE FORM PRINT FORM SUBMIT FORM
ies of staff
dn,^tt
E Emait
E Email
E Email
reports?
n ttaaiteo Paper copy
E Maileo Paper copy
! tr,taileO Paper Copy
E Maiba Paper copy
Name:
Address:
Name:
rlCell:
Fax:
Address:
copy to the city for processing.