Development Review ApplicationCOMUUNITY DEVELOPM ENT DEPARTMENT
Planning Division - 7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952'1227-1 100 / Fax: (952) 227-1110
Submrttal Dale: I a
Pc eala_ -o3
CITY OT CIIAI'IIIASSIN
APPLICATION FOR DEVELOPMENT REVIEW
(Refet to the appropriale Application Checklist fot rcquircd submitlal inlomation that .r],ust accompany this application)
tr
tr
D lnterim Use Permit (lUP)
E ln coniunction with Single-Family Residence.. $325! ett orhers....
E Rezoning (REz)
. $425
Comprehensive Plan AmendmentI lii"o, r,,tuse ri"" t r r"iri"g ""-"ii; il;;;
Conditional Use Permit (CUP)
E Single-FamilyResidencefl ntt ottrers.......
E ptanneO Unit Oevelopment (PUD) ...
! Minor Amendment to existing PUD..
Subdivision (SUB)
E Create 3 lots or lessE cr"ri" or"r : br;.-..................( lots)
E Metes & Bounds (2 lots)...........
! Consolidate Lots.......................
E Lot Line Adjustment
E Final P|at......
(lncludes $450 escrow for attomey costs)'
'Additional escrow may be requi.ed for other applications
through lhe development contEct.
Vacation of Easements/Right-of-way (vAC)
(Additional recording fees may apdy)
Variance (VAR)....
Wetland Alteration Permit (WAP)
n Single-Family Residence.......................
E nl otners.......
$3 per address(60 addresses)
....................... S50 per document
E Site Plan Agreement
E Wetland Alteration Permit
E Deeds
TOTAL FEE:
$600
$100
$325
$425
......... $750
......... $100
......... $500
... $150
$100
$500
E Att others.......
E Sign Plan Review............................
n Site Plan Review (SPR)
fl Administrative
E Commercial/lndustrial Dislricts'E Zoning Appeal...-.............. ...... $100
! Zoning Ordinance Amendment (zOA)................. $500
XqIE: Wh.n multiple applications are proc.sscd concurcntly'
the .pproprlsG tee shall be charged for €ach appllc.tion.
!
!
!
$300
$200
$200
..... $150
.....$275
Plus $ 10 per 1,000 square feet of building area
(- thousand square feet)
'lnclude number of q{SlLtg employees:
'lnclude number ot 49q emPloyees
E Residential Districts..................... $500
Plus $5 per dwelling unit ( units)
E Notification Sign (city to install and remove) ................
El Property Owners' List within 500' (city to generate after pre€pplication meeting)
! Escrow for Recording Documents (check all that apply)........::." " ""
D conditionat Use Fermit E tnterim Use Permit
fl Vacation E variance
Ei la"t"s & Bounds Subdivision (3 docs.) fl Easements f- easements)l, I 8{.r. on
Section 1: Application Type (check all that apply)
Section 2: Required lnformation
Description of Proposal: Subdivide Large Single Family Lot into 3 total lots
144'l Lake Lucy Road, Chanhassen, MN 55317
Property Address or Localion
Parcel #:250025820 Legal Oescription See Survey
Total Acreage:
Present Zoning
4.90 Wetlands Present?
Rural Residential District (RR)
ZYes nNo
Requested Zoning Single-FamilY Residential District (RSF)
Present Land Use Oesignation:Residential Low Density Req uested Land us&Eli&ft0t*ft al Low Density
Single Family Residential Housing RECEIVED
lcheck box if separate narrative is atiached
CHANHASSEN PI.AI,IIJING DEPT
," o".3..lhlf=}= "" o",", .}l a t l.1t- *o", *.r"* o",",3 i 3t1 I \-
Existing Use of ProPerty:
JAN 2I 2022
Sectlon 3l Propody Ownor orld Appllcant llfomlalioI
suBtffT roRll
tosaveI yourtocopyFORi/l
ndtoRl{rFO seUBITITS
APPLTCANT OTHER THAN PROPERW OIIVNER: ln slgning lhis appllcatlon, l, as epplicant, rsprosBnl lo have obltlned
authodaation hom the prcpgrty owngr t0lilB thls $plicalion. I sgroo to ba bound by conditions of epprcval, subJacl ohly to
the right to obiect Bt the hoidngs o[ the application or during the appeal period. lf this application has nol been signod by
the pmperty outer, I have attached ssp6r8l€ doc$lenlation of full legsl cap8cily lo lile lhe application. This spplication
should be pmc€sssd ir nry nenre end I am tllg pa y '/vlo th€ City shoxld contect regardiog any matter perteining to this
spplication. I vrill koep mysslf intormsd of lhs de8dllnes tor submission of msterial and lhe progross ot lhis spplication. I
turther underslEnd thBl €dditlonol fees ltray be charged for consuhltg loes, fsasibilily studies, stc. witlr qn eslimala prior to
any aulhodzstion to Broc6od with lho study. I cortify that th€ informetion and oxhibits submilted are true snd cofiect.
Addressi
Nanle:
Nanle
Givil Site Group
5000 Glsi)wood
Goldrn v8llsy, MN 55422
. kteppen@civilsitegroup.conl
Gsyls Morin
1441 Lake Lucy Road
chanhassen, MN 55317
gayl€.modn@gmail'com
K8vin Tspp8n
(612) 508-5s13
(612) 508-5313
Co act:
PhoirB:
city/slars,lzip:
Email: _
Signature:
Address:
Cell:
Fsx:
Cell:
Fax:
Dat6:
PROPERTY OWNER: ln sEning thls sPpllcation, l, as property o! ,nor, hav6 full l€gal caPacily to, and hereby do'
authorize the filing ofttris ap-didtion. t ij'naerstsnO that co;rOtUtns ol approval arc binding and.agroe to bu..b.oYnd by thgse
condilions; subie; onty to i11. rigtrt to oU3"a a $u t'u.rlng. or during ih! gppeal perioOsi t wil reep mys:llin or,msd of
the deadlines fir subniission of hatsriai'and the pogresio, this spdikatlon. I turther understand lhal additionsl f66s may
be charged for consulting fees, fessibi[ty studles, etd- with an sstimate prior lo any authorization to proceed with lhg
study. lcenifylhat the infomation 8nd exhiblG subnlitted are lrue and corect'
Datei
Conlact:
Phone:(952) 474-1186
Citylstatezip:
Email:J?2/
508-5313
50&5313
Signalure:
PROJECT EI'IGINEER (if
Address:
This pPli cation'tnust be mmpbtod ln tu and must be eccompa nied by all infom atio n and plans requirad by
appli cation rof€r to ths appropriato Application ch eckl ist
a pp licable City ordin nce proMsions.Beforg filing this procsd ral
with th P lanni Department to dslermine th6 sp€cific ord inancs and applicablE U
a n d confer ng
requiremenB 8nd feos'
of tho 15 business days of apdicstion submittal'
w' hin 15 busine$ ds!'s of spplication'de term I natio n of comdeteness
wrilte n nolice of a pplicstion defidencies
Nams:Cltil Slta GrcuP
5m qsnu,ood
G.t&n MN 55422
City/StslszlPl
ccnrect (eYrn TaPPen
Phone:
CEll:
Fsx:
(612)
Email:
Who should rccrlvt ooPlss itt
't8tr
r'Portr?
Notification ln[onnotion
lolh.r Contact lnE.mstion:
Nems:
Srlcliort ri
l-l Prooertv Owner Ma: El
E apOi*rt Vta, E
[7] Enorear Me: [,
E otr[r vra: D
Maited FaPtr CoPY
Usil€d Paper CoPY
tdaibd PaPer CoPY
i&ilod PaPer CoPY
Email
Bnail
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Addtess:
SAVE FORU PNNT FORUcopy to tha citY for Ptocsssl$g.
Comdot€
do$mentrs
llelds, lhen sBlectsll no&ssary form I digitaland payment.with rcquiredto city aloq
Email: