Development Review ApplicationP<- rr-46
COMMUI{ITY DEVELOP]TENT DEPARTMENT
Planning Division - 7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-1 100 / Fax: (952) 227-1110
subminarDar.3l i?\ J.I Pc Dare
CITI OT CHAI'IHASSII{
APPLICATION FOR DEVELOPMENT REVIEW
CC Date:6GDay Review Date:S ts;
Section 'l: Application Type (check all that apply)
(Refer to the apgropnab Aqpticdioo Ch6fdist tor tquhed submittat infodndtion lhat must a@ompatry this applicaton)
E Conditional Use Permit (CUP)
n Single-Family Residence .
E Atl others
E Comprehensive Plan Amendment $60o
E Minor MUSA line for failing on-site sewers....' $100
! Subdivision (SUB)
I Create 3 lots or less ...-.................................... $300
E Create over 3 lots.-.....................$600 + $15 per lot(_ lots)
! Metes & Bounds (2 lots).........-...,.................... $300
E Consolidate 1ots.........-.................................... $150
n Lot Line Adjustment........................................-$150
E Final P|at..........$700
(lncludes $450 escrow for attomey costs).
*Additional esqqv may be Iequir3d for ottEr apdications
though the de\relopment contrad.
E Vacation of Easements/Right-of-way (VAC)........ $300
(Additiooal Gcording fees may apply)
dvariance (vlR)................-................................... $200
$325
$425
$7s0
$100
$500
$100
$500
E Rezoning (REZ)
E Planned Unit Development (PUD) ...
n Minor Amendment to existing PUD..
! All others......
E Site Plan Review (SPR)
E Administrative
E Commercial/lndustrial Dislricts*
Plus $10 per 1 ,000 square feet of building area:( thousand square feet)
'lndude number of 9!lE429 emplo)€€s:
'lndude number of @[ emdoyees:
E Escrow for Recording Documents (check all that
E Conditional Use Permit
E Vacation
! Metes & Bounds SuMivision (3 docs.)
U Wetland Atteration Permit WAP)
E Single-Family Residence...........
E Residential Districts $5oo
Plus $5 per dwelling unit ( units)
d Property Ouners' List within 500' (citv to generate after pre-application meeting)
E All orrers......
!gIE: When multple applicatlons a.e Proce&red conculron[y'
the approprlate fee shall be charged for each appllcatior.
$3 per address
( f,l addresses)
E Site Plan Agreement
E Wetland Alteration Permit
$150
$275
$100
$s00
................... $50 per document
Permit
! Easements L- easements)! Deeds .--
TOTAL FEE: 6 JJ
Section 2: Required lnformation
Description of Proposal:
Property Address or Location:7/.^
parcet*: Z€ ll lOOZ1 Legal Description:Q_h vo pr\l-r
o - 3q wetlands Present?
r'h
Present Zoning:Select One
!Yes Elr6'
Requested Zoning:Select One
Select OnePresent Land Use Designation:
Existing Use of Property:
ncheck box if separate nanative is attached
n lnterim Use Permit (lUP)
fl ln conjunction with SingleFamily Residence.. $325
E Att otners...... .......................$425
Total Acreage:
Requested Land use Designation: Select one
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 pioperty 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 m)rself informed of the deadlines for submission of material and the progress of this application. I
furiher understand that additional fees may be charged for consulting fees, feasibility studies, etc. with an estimate prior to
any authorization to proceed study. I certify that the information and exhibits submitted are true and conect
Name:
with the
//€
Address: 5/ / le
City/State/Zip:
Email:
Signature:
Name:
Contact:
Phone:li<'>-z_za - t t,1,y'
Cell: 73 Z--zzd - /L.b
,.7
D
?,t Fax:
Date 7-/'72
PROPERTY OWNER: ln signing this application, l, as property owner, have full legal capacity to, and hereby do,
authorize the filing of this apptication. I understand that conditions of approval are binding and agree to be bound by those
conditions, suble& onty to tih'e rignt to ob,ect at the hearings or during the appeal periods. I will keep m)rself informed of
the deadlines for submission of haterial and the progress of this application. I further understand that additional fees may
G-cnargeO for consulting fees, feasibility studies, etc. with an estimate prior to any authorization to proceed with the
study. icertify that the information and exhibits submitted are true and conect'
d a-t--^-dA
Address:
City/Statezip:a
Email:
Signatu re
PROJECT ENGINEER (if applicable)
Name:
Address:
CrtylSlatelZip:
Email:
Cell:
Fax:
lO t1 Yq. 13o. t)
Date:
Contact:
Phone:
l1 o
applicable City Ordinance provisions. Before filing this
and confer with the Planning Department to determine
accompanied by all information and plans required by
application, refer to the appropriate Application Checklist
the specific ordinance and applicable procedural
requirements and fees.
A determination of compleleness of the application shall be made within 15 business days of application submittal. A
*iU"n noti"" of
"pptication
deficiencies shall be mailed to the applicant within 15 business days of application.
This application ust be completed in full and must
l>)
Who should receive copies of staff reports?'Other Contact Information:
Name:
Address:
City/State/Zip:
Email:
{eroperty ouner Yia: {E1nil
El'nppticant Via: lzl€mail
I Engineer Via: Ll Email
E otner Via: L-l Email
n Maileo Paper Copy
E uaneo Paper Copy
I uaiteo Paper Copy
E Mailed Paper copy
INSTRUCTION S TO APPLI CANT
device. PRINT FORM and deliver
copy to the city for Processing
: Complete all necessary form fields,
to city along with required documents
then select SAVE FORM to save a copy to your
and payment. SUBMIT FORM to send a digital
SAVE FORM PRINT FORM SUB['IT FORI,I
contaa, LA- 4 h6 " Le' U-o ^,{-r
Phone: LZ tz. 1 1',0 . \lLlt
Cell:
Fax:
Section 4: Notification Information