Development Review ApplicationCOMMUNfi .DEVELOPi'EI{T DEPARTMENT
Planning Division - 7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-110O I Fax: (952\ 227-'1110
APPLICATION FOR DEVELOPMENT REVIEW
sub(nirarDate:Ll r:i | )r 1l>>l>r CC DatePC Oate:
CITY OI CIIANIIASSII'I
60-Day neuewoate:?ltr [>r
Section l: Application Type (check all that apply)
(Refet to tll€ awtwtbte Appli@li<n Cl1€cklis, fot Bquied sui/niltal intofiption that must eiopny (nis aNicztio,l)
fl Comprehensive Plan Amendmen1......................... $600f] Minor MUSA line lor failing on-sile sewers ..... $10O
fl Condilional Use Permit (CUP)
! Single-Family Residence .
I nttotners....... ..................... $425
n lnterim Use Permit (lUP)
! ln conjunction with Single-Family Residence.. $325E Att others ..... $425
$300n Create over 3 |ots.......................$600 + $'15 per lol(_ lots)
.... $325 E Metes & Bounds (2 lots)
El Subdivision (SUB)t E(create 3 lots or tess
n Consolidate Lots
(lncludes $450 escrow for attomey costs)'
'AddiliqEl escrow may be required for orh€r applications
' $150 E wettand Aleration Permit (WAP)
Residence........E Single-Family
E Att Orhers......
$300
$150
$150
$700
X Rezoning (REZ)
E Planned Unit Development (PUD)
! Minor Amen
F ltt ottrers....
E Site Ptan Review (SPR)
! Administrative..........
ttro.rgh the &tBlopanent cqlrd-
........ $750 E Vacation of EasementyRighGof-way (VAC)........ $300
........ $100 lAddilixEl recording tees may apply) L
' "" "''soo /variance (vnn t ..................?- n.t &..* a. sr*
dment to existing PUD...
............ $100
n zoning Ordinance Amendmenl (ZOA)
s150
$275
............. $100
s500
............... $200
$3 per address
....... $50 per document
E Commerciaulndustrial Districts'. $soo
Plus $'10 per 1 ,000 square teet of building area ! Zoning Appeal
lhousand square feet)
'lndude numbe, ol g!&!29 e.nployees:
'lnclude numbe. of 4gg employees:
n Residential Districis......................................... $500
Plus $5 per dwelling unit ( units)
Fx Notitication Sign (city to ir6tall ard remove) ...
Property Owners' List wilhin 500' lcity to generate atter preapplicalion meeting)
!qIE: When multiple applications a,e processod concu.ronlly,
tho appropriate req shall bo charged tor each application.
n Escrow lor Recording Documents (chect alllhat
! Conditional Use Permit E Site Plan Agreement
n Wetland Atteration Permit
BrT.ll., s tBzC
appl
tr v)........ .
lnterim Use Permit
! vacation E Variance
n Metes & Bounds Subdivision (3 docs.) E Easements (- easements)
Section 2: Required lnformation
Description ol Proposal
Property Address or Location:
earcet*:L*L46fi1 /Legal Descriplion 3 'CAlLc.r v4{-
q1
Total Acreage
Present Zoning:61r..,1 {*,t 9
Wetlands Present?
F"l'^t (",R.'FLr5+
Presenl Land Use Designation:E, L-.-^- Or*, ,1-Requested Land Use Designation:
Q-qr-(--r.rExisting Use ol Property:t r;d. A*j(
ftnecf oox if separate narrati ;;;#n* r-
lqgl
(
Yes E No
Zoning:
APPLICANT OTHER THAlil PROPERTY OWNER: ln signing this application, l, as applicant, represenl to have obtained
authorization lrom 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. ll this application has not been signed by
the property owner, I have attached separate documentation of ,ull legal capacity to lile the application. This application
should be proccssed in my name and I am the party whom the City should contact regarding any matler pertaining to this
application. I will keep m)/sell intormed ot lhe deadlines for submission o, material and the progress ol this application. I
,urther understand that additional fees may be charged for consulting tees, teasibility 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.
Name .l Contact:So."L*l
Address:SVcr l,Wn Lz-r-rf Phone 6rz fYn z<1
City/State/Zip L:+- r-t-^, 553r Cell:
Fax:
Date
Email J+r L$o .r^-+. I
Signature:(=.L
PROPERTY OWNER: ln signing this application, l, as property owner, have lull legal capacity to, and hereby do,
authorize the liling o, this application. I understand thal conditions of approval are binding and agree to be bound by those
conditions, subject only to the right to obiect at the hearings or during th€ appeal periods. I will keep myselt informed ol
the deadlines for submission of material and the progress ol this application. llurther understand that additionalfees may
be charged for consulting fees, teasibilily studies, etc. wilh an estimate prior to any authorization to proceed with the
study. I certify that the intormation and exhibits submitted are true and correcl.
Name 1l,*r Ch.Contact:
Phone:
".^, Dl
Address Qt- t, M oru \qn( L*)
City/Starezip
Email:
CI^^!<s;-F"(rr SS3r-7
darrlr,a*a. O
Signature Date:a
PROJECT ENGINEER (if applicable)
?^sJ^Name:[1,4*f .,J tJ<iY Contact:
Phone:
*jLtlE-
Address:a_(L-D
City/Statezip tA-A^,b1-Cell
Fax,r ll -l,r'JC_-Email:
Who should receive copies of statf reports?
Property Owner Via: E EmailApplicant Via: EJEmail
! tttaited Paper Copy
E Mailed Paper Copy
E Mail€d Paper Copy
E Mailed Paper Copy
Engineer
orher
INSTRUCTIONS TO APPLICANT: Complete all necessary form fields, then select SAVE FORM to save a copy to your
device. PRINT FORI, and deliver to city along with reguired documents and payment. SUBT IT FORII to send a digital
copy to the city for processing.
Section 3: Property Owner and Applicant lnformation
This application must be completed in tull and must be accompanied by all anformation and plans required by
applicable City Ordinance provisions. Belore filing this applic€tion, refer to the appropriate Application Checklisl
and confer with the Planning Department to determine the speciric ordinance and applicable procedural
requirements and fees.
A determination ol completeness of the application shall be made within 15 business days of application submittal. A
written notice of application deficiencies shall be mailed lo the applicant within l5 business days of application.
Via:
Via:
Ettr Email
Email
Cell:
Fax:
v-<
Section 4: Notification lnformation
'Other Contact lnformetion:
No-o'
-
Address: _
City/Statezip: _E-o;1.