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APPLICATION FOR DEVELOPMENT REVIEW
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Section 1: Application Type (check all that apply)
(Refe. totr€ qrqdale Adid*n Cffiid fq requtued suffial inlo,,,l€tio,1 that nws, @ttwty this apF/icat,ort)
E Comprehensive Plan Amendment
E Minor MUSA line for railing on-site sewers ....
E Condltional Use Permit (CUP)
E Ptanneo Unit Development (PUD)
E Minor Arnendment to existing PUD..,..,,..........fl ett otners......
! Single-Family Resilence ............,................... $325
E All oulers...... .......................$425
E lnterim Use Permit (lUP)
E ln conjunc{ion with Single-Family Residence.. $325E ett orrers...... .........-............$425
fl Rezming (REZ)
E suuaiusi:n (sug)
E Create 3 lots or less ........................................ $300
E Create over 3 |ots.......................$6Cx) + $15 p€r lot( lots)
E uetes & Bounds (2 lots) ......$300
E Consotioate Lots .................. $150
! Lot LineAdiustnent.........................................$150
E Final P1a1.........,............ ........$700
(lndudes $450 escrow for attomey costs)'
'Addiqd €scrw may be lrqritd lb. o0ler +gacatixls
through the .re\doprEnt cmt'acL
El vacation of Easemenb/Right-oFway (VAC)........ $300
Gddliqd lecddrE Ees rnay apdy)
E Variance (VAR)...............................-.-................ i20o
D Wetand alteratim Permil (wAP)
E Single-Family Residence.......,....................... $150
E All orrers...... ..................... $275
! zoning Appeal $100
E Zoning Ordinance Amendment (ZOA)................. $500
MfE: Wton multiple .DDlicdon€ arc p.occascd concurtenttr,
lhe app.opdtb tre shdl be chrlpd fo. oach apPllcadon-
Use Permit fl Site Pbn Agreement
E weuand Afteration Permit
$6oo
$100
$7so
$100
$sm
E Sign ptan Review................ .......$150
E Site Ptan Review (SPR)
E Administrative ...................... $r00
E CommerciaUlndustrial Distsicts*$500
Plus $10 per 1 ,000 square feet of building area:( thousand square feet)
'lndude number of olidfilo e.ndolrees:
'lrdu& nrrf$sr of oqf ernplq,e€s:n Residential Distsicts......................................... $500
Plus $5 per dwelling unit ( units)
EI VarianceE Easements ( easements)
E property Owners' Lbt within 5fi)' (Gty b gerE-re dis. prB-€Blcatin m€dirg).................................................. i3 per address( addresses)
................. $5O per document
E oeeOs
TOTAL FEE:$1,600.00
Section 2: Required lnformation
Description of Proposal: FINAL PLAT 18 Single Family Lots. Preliminary/Final Plat concurenty 1 Single Family Lot.
Property Address or Location:775 96th St. W. Chanhassen, MN 55317
See AttachedParcel #:Legal Description:
Total Acreage:1 17 .14 wethnds P.esent?Z ves Eno
Present Zoning:Requested Zoning:
Resirlential Low Den{II Requesled Land Use Designatton
Exbting Use of Propertf 2 homesteads
SingleFamily Residential Distsic{ (RSFfl
Residential Low
Echeck box if separate narrative is attached
COTf, UNITY DEVELOPI ENT DEPARTUET{T
Phnning Division - 7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Plnne: (*52) 227-1100 / Fax: (952) 27-1110
! Es6ow br Recording Dodtments (check all that
! ConOitionat Use Permit
E Vacation
E Metes & Bounds SuEMsion (3 docs.)
25155&21.251 55oo22 2fi2521{o
Single.Family Residontial District (RSF)
Present Land Use Designation:
Section 3: Property Owner and Applicant lnformation
APPLICANT OTHER THAN PROPERTY OWNER: ln signing this application, l, as applicant, represent to have obtained
authorization from the property owner to file this application. lagree 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
lhe 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 mysef informed of the deadlines for submission of material and the progress of this application. I
furher understand that addfional fees may be charged for consufting fues, feasibility studies, etc. with an estimate prior to
any authorization to proceed with the study. I certifu that the information and exhibits submitted are true and conect.
Name:
Address:
Contact:
Phone:
City/Statelzip:
Email:
Cell:
Fax:
Signature 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 addfional fees may
be chaeed 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.
Black Cherry Development, LLC Dan BlakeName:
'14500 Martin Dr #3000
Contact
Phone:Address:
City/Statezip:
Email:
Signature:
Eden Prairie, MN 55344 6',12.282.5482
danblake@pemtom.com
Date: I Z'/ l- Ll
This application must be comdet€d in full and must bo accompanied by all informaton and dans required by
applicable City Ordinance provisions. Before filing this application, refier to the appropriate Application Checklist
and confer with lhe 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 da)rs of application submittal. A
written notice of application deficiencies shall be mailed to the applicant within 15 business dalrs of application.
PROJECT ENGII{EER (if applicable)
Name: Alliant Engineering
Address
Minneapolis, MN, 55402-2340
Email:mrausch@alliant-inc.com
6on1""1 Mark Rausch
phone: 612.758.3080
Cell:
Fax:
Section 4: Notif ication lnformation
Who should receiye copies of staff reports?
E Property owner Ma: E Email
E epdunt via: E Emait
I Engineer Ma: E Email
I otrer- Vra: E Email
'Other Contact lnformation:
Name: Tim Erhart! Maited Paper copy
! Maited Paper copy
! uaieo Paper Copy
E uaieo Paper copy
9611 Meadowview Dr
City/Statezip
Email:
Chanhassen MN 553't7
terhart@riekor.com
INSTRUCTTONS TO ApPLlCelT: Complete all necessary foIm fields, then selecl 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 FORX
Cell:
Fax:
733 Marquette Ave, STE 700
City/StateZip:
Address:
PRINT FORM SUBf,TT FORM