Development Review ApplicationCOHTUNITY DEI'ELOPIIENT DEPARTiIENT
Plsnning Division - 7700 Ma*et Bouleverd
Msihng Address - P.O Box 147. Chanhassen, MN 55317
Phone (952) 227-'1100 / Fax: (952)227-1110
Sub.nflalOet!L"
fRofrr lo lhc rmropa.f! ApprErtp,, Crrcrdrs, lat Qqv,Gd
E Comprehensive Plan Amendment . ..... . . ........ t600
E Minor MUSA line ior failing on-site sewers.....9100
E Conditional Use Permit (CUP)
D Srngl+FamilyResidence .. .....................9325
El A[ others . ....... $425
I lntenm Use Permit (lUP)
D ln conjunclaon with Single-Family Residence.. 3325
E alt otners . ..................... 3425
E Rezonrng (REZ )E Planned Unit Development (PUD) .................. $750
C Minor Amendment to existing PUD... ....... .....$100
E A others. .............. ..........3500
! Sign Plan Revievv......... ...........t150
! Site Ptan Review (SPR)
E AdminisEative ..........................9100
D Commerciaulndustrial Districts'...................... $500
Plus $ 10 per 1.000 square feet of building area:( thousand square feet)
'lncluda nomb.r ol!!S149 employc€s
-
'lnclucc numbcr ot 499 tmdoltes
E Residential Districts......................... .............. S500
Plus $5 p€r dwelling unit ( units)
E vacarion! Metes I Bounds Subdivision (3 docs.)
!!
CITY OT CH,II{IIASSII{
APPLICATION FOR OEVELOPMENT REVIEW
cc orrc 1L)?-l3L 6GD.v R!v.w D.rG
Vacation of EasementyRight{f-way (VAC)
(Addnb6.l llcording tur3 mrY .PPIY)
Variance (VAR) .
Wetland Alteration Permit (WAP)
to)el a-r
9300
5200
................. $150
............... $275
st]l.,rni .t inlo nrlan, lhet .rusl ffi.twt y lhis sfrlt abott)
E subdivision (SUB)- E cr""t" i lots br less " s300
E create over 3 lots................. ... .i500 + $15 per lot( lots)
Metes & Bounds (2 l"ts) . . ...... -. .$300
Consolidate 1ots.............-.......-..........'......... . .S150
Lot Line Adjust nent.................. ............ ........ 31 50
Final P|at.............. ........ ... ..9700
(lncludes 3450 escrow for attomey cosF)'
iAdd(bnal ascrpr lrlsy bc rlquilld ,o, ohcr aPolrcalions
through tha (hvclopmttrt contra€|.
tr
tr
tr
Dtr
D
D
D
D
Single.Family Residence...
All Others...........................
E Notitication Sign (c'ty to lnst llsid llrrlov!) ........
$ Property Owne6' List within 500' (clty to gencntc .ft!r pr!{ppl€tion nrcting} ......
[0 Escrow for Recording Documents (check all that apply)............... t--.'
--EConotionrtu;"F';*ii - --tr'iiit"ri.useP;;i
Variance
Easements L_ easements)
E Zoning Appeel ......,..................0100
E Zoning Ordinance Amendment (ZOA)................. SSOO
M!IE: lthan m{lud. *Dllc.tloo |It proc..ttd co.tcumntty,
lha rpp.lorl.t lba rhrll ba ch.read io. ..ch apDllcaion.
$200
(lj addresses)
....... $3 per address
.. $50 per document
Agreernent
Alteration Permit
E Site PtantrtrWetland
Deeds t 73TOTAL FEE:
Section 1: Application Type (check all that applyl
Section 2: Required lnlormation
Descflptron ol Proposal
J3o wer-l 1.r{ er}cce+ 5ui+6'+ 1ooProperty Address or Location
Parcel *:Legal Oescription
Total Acreage;
Present Zoning Soloct One
Wetlands Present? fl Yes ffi No
n"g1on. Select One Requested Land Use Desig 161161. Select OnePresent Land Use Desig
Existing Use of Property:
lcirect box if separate narrative is attached
PcDd,t_l'7_l_ul_
Requested Zoning:Seloct Ono
Soction 3: Proporty Ownor and Applicant lnformation
AppLlcANT OTHER THAN pROpERW OWNER: tn signing this application, l, as applicant, represent to have obtained
ou[ronzeton lrom the property owner to file lhrs apptrcati-on iagree to be bound by condilions of approval, subiect only lo
the nght to oblecl at the heanngs on the apphc€tion or during the appeal penod lf ihis application has not been signed by
tne p perty owner. I nave atta|hed selaraie oocumentatio; ol full legal capacity lo file the application This application
should be processed ,n .y n"."
"nd
iam ttre party wnom the City s[ould conlict regarding any matter pertaining to this
apptrcatron I wr1 keep misetf rnformed of the deadirnes for submrision of material and the progress of this application I
further understand that addilronal fees may be charged for consulting fees, feasibility studies, etc. with an estimate prior to
any authonzatron to proceed wth the studi I cedid that lhe informairon and exhibits submltled are true and correct'
Name SAsa ,v Pirrslt.Contact
Phone
1bs-e?ct.of'|l
-7b 3 -+
".1
-34rr-n
Cell
Fax
Date 2 -<O 41-
Contact:
Phone
Address (olu {
^,1
me otiar )I
Crty/State/Zrp l-o reL'to ,ir^r,j 5535?
Emarl bc e.
Srgnature
Cell
Fax
Dale
PROPERTY OWNER: ln srgnrng thrs apphcatron, l, as property owner. have tull legal capacity to, and hereby do,
authonze the filng ol thrs afplicition. I understand that conditions of approval are binding and agree to be bound by those
condrtrons. sublit only to the nght lo object at lhe hearings or during the appeal periods. I will keep myself informed of
the deadlnes ,or submrssron of matenal and the progresgof this application. I further understand thal additional fees may
be charged for consultrng fees. leasibility studies, etc with an estimate prior to any aulhorization lo proceed with the
study I oertrty that the information and exhibits submitted are true and correct.
n. .BR.tAxt l). firtanrc,t< contact:y'|.,* rl "(
Address fz.. l,t/..+'vt 4 A-,-*-enone:(ol 2 - tul -oSZll-7
Emarl
Srgn
t <o
This applEaton must be completed in full and must be accompanied by all inlonnation and plans required by
applicable Crty Ordinance provEions. Before filing this application, refer to the appropnate Application Checktist
and conter wth the Planning Department to determine the specific ordinance and applicable procrdural
requirements and fees
A determrnatron of completeness of the apphcalion shall be made within 15 business days of application submittal
wntten notice of applcation deficiencies shall be mailed to the applicant within 15 business days of application.
A
Section 4: Notilication lnformation
Who should roceive copies of rtaff repoat3?
! Property Owner Via: ! Email
'Othcr Contrct lnfomafl on:
Name:! npdrcant Ma
f] Engineer ViaE otner
Etr Emarl
Email
Via; ! Email
I Maiteo Paper Copy! Maited Paper copy
D Uaiteo Paper Copy
D Maited Paper Copy
City/State/Zip:
Email:
Address
INSTRUCTIONS TO APPLICANT
devrce PRINT FORM and dehver
copy to the crty for pocessrng
: Complete all necessary lorm fields, then select SAVE FORM to sav€ a copy
to city along with required docurnents and payment. SUBMIT FORM to sond
to yDur
a dlgltal
sAvE FORU SUAUT FORT'PRII{T FORII
cry/sratezip:
PROJECT ENGII{EER (if appl&rable)
Name: _
Address _
city/srate/zip:
Emarl:
Cell:
Fax: