Development Review ApplicationCOMTU'{ITY DEVELOPME T DEPART ENT
Planning Division - 7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Ptione: {952) 227-1 'l0O / Fax: (952) 227-11'tO
Submittal Date:
CITY OF CHAI{HASSHI{
APPLICATION FOR DEVELOPMENT REVIEW
PC Date:..*n n /fl l>l SGDay *o***lo/ e lU
Section 1: Application Type (check all that apply)
(Rerer to t p aw@Friate Afilicdion O7€,cnis, {ot Gquhed submilta/ inldtrcfnn that aud @m8rry this aNi@rion)
I Comprehensive Plan Amendment
fl Minor MUSA line for failing on-site sewers .....
! Conditional Use Permit (C UP)n Single-Family ResidenceE att ofrers......
n Minor tunendment to existing PUD
! All Others......
D Sbn aan Review................
I Site Plan Review (SPR)
E Administrative
E Commerciaulndustrial Distficts'
$600 ! Subdivision (SUB)$100 n Create 3 lots or less .................-.,...................$300E Create over 3 |ots.....,.................$600 + $15 per lot
Plus $10 per 1,000 square feet of building area:( thousand square feet)
lndude numb€r of exilrlip €rnployees:
'lndude nunber of @,v emplqEes:fl Residential Disttts-......................------.SSOO
Plus $5 per dwelling unit ( units)
f] Property Owners' List wihin 500' (C)ty to geneEte after p{e-apdbation meel,og)
E Escrow for Recording Documents (cfreck all that
E Conditional Use Permit
ntrE Lot Line Adjustnent.......................
E rinat P|at.........,............
(lncludes $450 escrow for attomey costs)'
'Additixlal esctow may be lBquil€d for o0rer applicatioos
through ttE devBlofrn€nt cont'aci-
E Vacaion of Easements/Right-of-way (VAC)........ $300
(Additio.El lecording Ees Inay apdy)
E Variance (VAR)....,.....,.,......,.................,.............. $200
Wefland Alteration Pemit WAP)tr Singls.Family Residence..
!g!E: t{hen muhipl8 appllcauons are proca6$d conqrflrndy,
the approDriate ftG rhdt be chaged for each applica6on,
{ J addresses)
$3 per address
$50 per document
$325
$425
$1oo
$500
$150
$100
$500
$300
$1so
$150
$700E tnterim Use Permit (lUP)
I ln conjunctlrn with Single-Family Residence.. $325D At oarers...... -..-.....-.......... $425
E Rezoning (REz)
E Phnned Unit Development (PUD) ..............,... $750
$1s0
$275
$1oo
$500
trtr Vacation
Mete6 & Bounds SubdMsion (3 docs.)
m Use PermitE VarianceE Easements ( easements)
f! Site Plan Agreement
E Wefland Afteration PermitE oeeos$, , --,TorAL FEE: --l .>c q-{"
Section 2: Required lnformation
Descrip[on of Propqsl; Allow; continuation of existing driveway for access to house, house setback to be averaged
with 20'S and 60' N, west & north porchs in setback.
Property Address or Location:
Parcet*A 25.0080200 Legal Dessiption:Pa.t of Govt lot 5, Sec I Twnsp 16, Range 23, Carvey County MN
Total Acreage:2.50 Wellands Present? El Yes E tto
Present Zoning:Single-Family Residential District (Rff Requested Zoning:Selecl One
Present Land Use Desig n"6on. Residential Large Lot Request€d tand Use Desbnatio"' S#dbAUANHASSEN...-_.RECEVED--
Existing Use of Property
Echeck box if separate narrative is attached.AUG 0 6 2021
u
Section 3: Property Owner and Applicant lnformation
APPLICANT OTHER TIiAN PROPERW OIYNER: ln signing this application, l, as applicant represent to have obtainod
authorization fom the property owner to file this appliceton. I agree to be bound by conditons of approval, subject only to
the right to object at the hearings on the application or during the appeal period. f this applicatbn has not been signed by
the property owner, I have attacfied sepaft e documentation of tull legal capacity to file the application. This application
should be processed in my name and I am the party whom the City should contact regErding any matter pertaining to this
application. I will ke€p mysef irformed of the deadlines for submission of material and the progress of this applicetion. I
further understand that additional fees may be charged for consulting fee, feasibility studi6s, etc. with an estimat€ prior to
any authorizalion to proceed with the study. I certify tfiat the infomation ard exhibib submitted are true and conect.
Name:Contact
Phone:Address:
City/Statezip:
Email:
SiJnature:
PROPERTY OWttlER: ln signing this apdication, l, as prop€rty owner, have tull legal capacity to, and herBby do,
authorze the filing of thb applicatftrn. I understand lhat condilions of approval are binding and agree to be bound by those
conditions, subject only to the right to objec-t at the hearings or during the app€al p€rbds- I will ko€p m!6elf informed of
the deadlines for submission of material and the progress of lhis 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 cartry that the information and exhibitls submifted are fue and correct.
Name:Jefi aM Deb Papke Contact:
Phone:Address:6180 Cardinal Drive
Shorewood, MN 553[]1 (763) 300-s074
Cell:
Fax:
Cell:
Fax:
Cell:
Fax:
Jefr PPapke
(763) 3m-s074
City/Statezip:
Email:papke@gmail.com
Signature:
PROJECT EIGII{EER (if applkuble)
Name:
Address:
Contact
Phone:
City/Statelzip:
Email:
This applicalion must b€ comd€ted in lUll and must be accdnpanied by ail informatioo and plans rsquirBd by
applicable City Ordinance provisions. Before filing lhis apdbatiln, r€fer to the apgopriata Apdicaton Checklist
and confer with the Planning Oepartnent b detemine the specific ordimnce and applicable procedural
EquirBrnents and ie€s.
A detemination of completeness of lhe application shall be made within 15 business days o, application submittal. A
written notice of eppli(5bn defici€ncies shall be mailed to lhe applicant within 15 business days of apdicatbn.
Section 4: Notification lnformation
VUho should recalve coples of stafr reporE?
n Property owner Via: E Email E Mailed Paper CopyE Applicant Ma: E Email E] wtaileo Paper copyI Engineer Via: E Email f] Maihd Paper Copytr Otrlor Ma: fl Email E uanea Paporcopy
'Other Contact lnformation:
Name:
Address:
City/StateZip:
Email:
INSTRUCTTONS TO APPLICANT: Complote all necessary form fields, tlen selec-t SAVE FORM to save a copy to your
device. PRINT FORM and deliver to city along with required docaments and payment. SUBMIT FORM to send a digital
copy to the city for processing.
SAVE FOR SUB IT FORH
94". 6124120
PRINT FORU