Development Review ApplicationCOMMUNITY DEVELOPMENT DEPARTMENT
Planning Division - 7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-1100 lFax: (952\ 227-1110
APPLICATION FOR DEVELOPMENT REVIEW
Submittal Oate: O \?Pcoare:lol tqlot
"" o",", ll l? []t
CITY OT CIIAI'IIIASSII'I
2-l It
60-Day Review Date I t,
Section 1: Application Type (check all that apply)
(Refer to the appropiate Application Checklist for required submitlal infomation lhat must accompany lhis application)
E Comprehensive Plan Amendment......................... $600
E Minor MUSA line for failing on-site sewers ..... $100
E Conditional Use Permit (CUP)
! Single-Family Residence ................................ $325
n Al ottrers...... ....................... $425
( lots)
! Metes & Bounds (2 lots).................................. $300
fl Consolidate 1ots.............................................. $1 50
E Lot Line Adjustment......................................... $150
E Final Plat-..................... ........ $700
(lncludes $450 escrow for attorney costs)*
'Additional escrow may be required for other applications
lhrough the develoEnent contract.
Vacation of Easements/Right-of-way (VAC)........ $300
(Additional recording tees may apply)
$150
$275
lnterim Use Permit (lUP)
E ln conjunction with Single-Family Residence
n Att others......
Rezoning (REZ)
E Planned Unit Development (PUD)................
f] Minor Amendment lo existing PUD...............
. $32s
. $425
. $750
. $100
E Subdivision (suB)
E Create 3 lots or less
E Create over 3 lots....
tr
........................ $300
...$600 + $15 per lot
E At otners...
! Sign Plan Review...
................... $500
E Site Plan Review (SPR)
E Administrative ..................... $100
E Commercial/lndustrial Districts*...................... $500
Plus $10 per 1,000 square feet of building area:( thousand square feet)
'lnclude number of elg2g employees:
'lnclude number of !98 employees:
E Residential Districts........-..........-..................... $500
Plus $5 per dwelling unit ( units)
[f Notiflcation Sign (city to install and remove) .............
EI Property Owners' List within 500' lcity lo generate after pre-application meeting)
Ef Variance (VAR).$200
' S150 ! wettand Atteration Permit (wAP)
E Single-Family Residencen Alt others......
E zoninq Appea|................. ......... $100
E Zoning Ordinance Amendment (ZOA)................. $500
!!EE: When multlple applications are processed concunen{y,
the appropriate tee shall be charged for each applicatlon.
. $200
... $3 per address
L_ addresses)
....................... $50 per document
E Site Plan Agreement
fl Wetland Alteration Permit
Bt'ri"flit' -Frso 'e
E Escrow for Recording Documents (check allthat apply)....................
E Conditional Use Permit ! lnterim Use Permit
E Vacation ! Variance
E Metes & Bounds Subdivision (3 docs.) E Easements L- easements)
Section 2: Required lnformation
Description of Proposal
66o7 Hwse-sHo e- Cttr't o C,fu,+t ha-s*cez, Tn /y -95317Property Address or Location:
Parcel #: 2SoSgOO lO
.b1
Legal Description Rcs t /aa17 p1
Wetlands Present?!ves !ruo
Requested Zoning Select OnePresent Zoning:Select One RSF
Present Land Use Designation Select One Requested Land Use Designation sele^q\Qnft CH ANHvrr
RECEIvEDftcstdt,t
dcnecx box if separate narrative is aftached SEPJl 2O
CHANHASSEN
Total Acreage:
Existing Use of Property:
Section 3: Property Owner and Applicant lnformation
APPLICANT OTHER THAN PROPERW OWNER: ln signing this application, l, 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 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 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 Contact
Phone:Address
Cily/State/Zip:
Email:
Signature:
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 submitted are true and correct.
Name: F/tse Bruncr $r, ntt $ru rte/Contact
Address eS )10 e Cttl t e-Phonet 1-tz-'7q-7 -zG lq
ce,l: 6/7 - Zo-9 - 9/1q
Emat ebr/r1./n r0 (.ty?lbr,tner b ("p c- l,*'tg'/o-'ap. C c,44
Signature Date: Oq- n-20)l
PROJECT ENGINEER (if applicable)
Name:
City/State/Zip {93t 7
Address:
Contact:
Phone:
City/State/Zip
Email:
Cell:
Fax:
This application must be completed in full and must be accompanied by all information and plans required by
applicable City Ordinance provisions. Before filing th,s 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 completeness of the application shall be made within 15 business days of application submiftal. A
written notice of application deficiencies shall be mailed to the applicant within 15 business days of application.
Section 4: Notification lnformation
Who should receive copies qf staff reports?*Other Contact lnformation :
Name: -fP.*\A-l {ft}.) EEILt
City/State/Zip:Mew4 MN .r(:zlat
I
E Property Owner Via: EfEmailE Applicant Via: E Email
! Engineer Via: E Email
E othef via: E Email
[frr,laiteo Paper copy
ElMailed Paper copy
E uaiteo Paper Copy
! Maiteo Paper Copy
Address: --2-\ \ N [!1 .JF <<b
Email
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
SAVE FORM PRINT FORM SUBMIT FORM
I d'i @ to r-
l,/nrtaLA-< r.*,,
copy to the city for processing.