Development Review Application{s
COMMUNITY DEVELOPMENT DEPARTMENT
Planning Division - 7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-1100 I Fax: (952\ 227-1110
Section 1: Application Type (check all that apply)
(Refer to tlrF- appropiate Applicatirn Clpcklist tot required submittal inlomatbn that must ad:ronpany this applbation)
E Comprehensive Plan Amendment......................... $600 E Subdivision (SUB)
E Minor MUSA line for failing on-site sewers..... S100 E create 3 lots or less
! Conditional Use Permit (CUP)
E Single-Family Residence .....
E ntt otners......
............... $325
............... $42s
tr
tr!
Create over 3 lots...-.................( lots)
Metes & Bounds (2 lots)...........
Consolidate Lots........-..............
E lnterim Use Permit (lUP)
E ln conjunction with Single-Family Residence.. $325! Ailothers...... ......................$425
E Rezoning (REZ)
E Planned Unit Development (PUD)...-.............. $750E Minor Amendment to existing PUD................. $100E Att Others...... ......................$500
E Sign Plan Review................ ....... $150
E Site Ptan Review (SPR)
E Administrative ..................... $100E Commercial/lndustrial Districts. .... ... ...... ... ... . .. $500
Plus $10 per 1,000 square feet of building area:( thousand square feet)
'lnclude number of exrsliaq emplgyees:
'lnclude number of Agg employees:E Residential Districts..............................-.......... $500
Plus $5 per dwelling unit ( units)
E Notification Sign (city to install and remove)
I Property Owners' List within 500' lclty to generate aier pre-application meeting)
Lot Line Adjustrnent....................
Final Plat............................. ............................
(lncludes $450 escrow for attorney costs)'
'Additional escrow may be required tor other applications
through the development contract.
E Vacation of Easements/Right-of-way (VAC)........ $300
(Additional recording fees may apply)
E Variance (VAR)...... .......... ...... $200
E Wetland Alteration Permit (WAP)
n Single-Family Residence.-............................. $150
! ett otners...-.. .....................$275
! Zoning Appea1................. ......... $100
E Zoning Ordinance Amendment (ZOA)................. $500
!lME: Vt/h.n multiple applications .rr proc.ss.d concur.?tdy,
th. rppropri.t lbq shall be chrEcd for eaah .pplicrtion.
$200
( {D addresses)
$3 per address
E] Escrow for Recording Documents (check all that apply)....................
E Conditional Use Permit ! lnterim Use Permit
E Vacation E Variance
E] Metes & Bounds Subdivision (3 docs.) E Easements ( easements)
....................... $50 per document
n Site Plan Agreement
E Wetland Alteration PermitE Deeos
TOT AL FEE2{ S 7D , 04
Section 2: Required lnformation
Description of Proposal: Remove existing patios, deck, and hardscape areas over the property lines. Construct the
proposed back porch and deck.
6287 Chaska Road Excelsior, MN 5S31Property Address or Location:
Parcel #: 258450020 Lot 2 Block 1 Sweiger Development
Total Acreage:
Present Zoning
Wetlands Present?EYesZruo
Requested zoningSingle-Family Residential District (RSF)Not Applicable
Not Applicable
Existing Use of Property
Echeck box if separate narrative is atiached
APPLICATION FOR DEVELOPMENT REVIEW
submirarDab:?/ Ic / 3/ pcoan.f-L1J]Lccoate:? kI-Jt}L soo"yn"ui"*o"t"A&L{-..itL/L-
Legal Description:
0.48
Present Land Use Designation: Residential Low Density Requested Land Use Designation:
Single Family
Section 3: Property Owner and Applicant lnformation
APPLICANT OTHER THAN PROPERTY OWNER: ln 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. lf this application has not been signed by
the property owner, I have attached separate documentation offull 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 Tim Johnson Contact:
Phone:
Tim Johnson
Address 10799 Alberton Way ,n
city/state/zip lnver Grove Heights, MN 55077 Cell:
Fax:
Date
(651) 755-4s1 3
Sig nature:7t9t21
owner, have full legal capacity to, and hereby do,
authorize the filing of this application. I understand ons of approval are binding and agree to be bound by those
conditions, subject only to the right to object at the 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 Erin Hearst Contact:
Phone:
city/state/zip
Email:
Minnetonka, MN 55345 Cell:
Fax:N/
Signature
This application must be completed in tull and must be accompanied by all iniormation and plans required by
applicable City Ordinance provisions. Bebre filing this application, reEr to the appropriate Application Checklist
and confer with the Planning Department to determine the specific ordinance and applicable procedurEll
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 deflciencies shall be mailed to the applicant within 15 business days of application.
PROJECT ENGINEER (if applicable)
Name:N/A Contact
Phone:Address
city/state/zip
Email:
Who should roceive copies o, staff reports?'Othor Contact lnformation:
Name: Tim JohnsonProperty Owner ViaApplicant ViaEngineer ViaOthef Via
Email
Email
Email
Mailed Paper Copy
Mailed Paper Copy
Mailed Paper Copy
Address:10799 Alberton Way
city/state/zip lnver Grove Hei ohts. MN 55077
INSTRUCTIONS TO APPLICANT: Com plete 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 PBINT FORM SUBMIT FORM
n : E Email E tritaiteO Paper Copy Email:tiohnson@livi ure.com
Email:
I
PROPERTY OWNER: ln signing this application, l,
Address: 17001 The Strand
Oate: 7 El21
Cell:
Fax:
Section 4: Notification lnformation