Development Review ApplicationCOMMUNITY DEVELOPMENT DEPARTMENT
Planning Division - 7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952\ 227 -1 100 / Fax: (9521227-1110
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CITY OT CHAI{HASSII{
APPLICATION FOR DEVELOPMENT REVIEW
Submiftal Date
! Att ottrers.................
CC Date
...... $425 E Consolidate Lots...
6GDay Review Date 1 rl tI
n
tr
(Refer to the apqogiale Applicaton Checklist for requircd submittal infoinat:an that must ac.filpany this application)
Comprehensive Plan Amendment......................... $600 E Subdivision (SUB)
n Minor MUSA line for failing on-site sewers...-.$1OO E Create 3 lots or less .....................-.................. $300
E Create over 3 lots .......................$600 + $15 per lot
Conditional Use Permit (CUP) (_ lots)
E Single-Family Residence ...............................- $325 E Metes & Bounds (2 tots).................................. $300
n lnterim Use Permit (lUP)
E ln conjunction with Single-Family Residence.. $325
E Atl others....... .......-............ $425
F
n Sign Plan Review............................................-...... $150
E Site Plan Review (SPR)
n Administrative .................... $100
! Commercial/lndustrial Districts-...................... $500
Plus $10 per 1,000 square feet of building area:
(_ thousand square feet)
*lnclude number of e2!Sli4g employees:
*lnclude number ot4eq employees:
E Residential Districts......................................... $500
Plus $5 per dwelling unit (- units)
E Notification Sign (city to install and remove)
' '..... .... $1s0
Lot Line Adjustment......................................... $1 50
Final P|at.............. ............... $700
(lncludes $450 escrow for attorney costs)*
'Additional essow may be required for other applications
$300
Rezoning (REZ) through the development contract.
EL Ptanned Unit Development (PUD) .................. $750 E Vacation of Easements/Right-of-way (VAC)....
I Minor Amendment to existing PUD................_ $100 (Additional recording Iees mayapply)
E Att others...................$5oo E variance (vAR). $200
n Wefland Alteration Permit (WAP)
n Single-Family Residence.....-......-.................. $1 50
n All ottrers....... .................. $275
! Zoning Appea|................ $100
E zoning Ordinance Amendment (ZOA)................. $500
!qIE: When multiple applications are p,ocessed concufienlty,
the appropriate fee shall be charged tor each application.
$200
ffi Property Owners' List within 500' lcity to generate afte. pre'application meeting) -.............. -.. $3 per address
( 63 addresses)
! Escrow for Recording Documents (check all that apply)...................-... ........ . ....... $50 per document
E conditional Use Fermit E tnterim Use Permit ! Site Plan Agreement
n Vacation E Variance E Wetland Alteration Permit
n Uetes a Bounds Subdivision (3 docs.) n Easements (- easements) E OeeOs
TOTAL FEE:
Section 1: Application Type (check all that aPply)
Section 2: Required lnformation
6r\r (eZ\ aF\ h V EPR.
Property Address or Location:O ,'1 t-oT RS*lagzo. Atrr;rfroxi
p"r."1x, L6l z ?>I Legal Descdption E,l€.h-\oet^f*slrsror-l
Total Acreage:
Present Zoning
Wetlands Present?pves ! trto
Requested Zoning
3-,15
Select One PU D . Select One
Select One Select One
Existing Use of Prooertv: V f(^t.iT LpI
ECnecf box if separate nanalive is attached
Description of Proposal:
Requested Land Use Oesignation:Present Land Use Designation:
Section 3: Property Owner and Applicant lnformation
APPLICANT OTHER THAN PROPERTY OWNER: ln signing this applicalion, 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 mafter 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 sludies, 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 5 +b contact: 6?AEY 1-\HntseU
Address: TfZD KreSR B.fED pnone: Glz'3L9.l1 tb
City/State/Zip ciJrr,-ii{ts@ Cell:
Fax:
Date
*r. E.
Email: 4AP ErJ
zo
PROPERW OWNER: ln signing this application, l, as property owner, have full legal capacity to, and hereby do,
authorize the filing of this applicalion. 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. lcertify that the information and exhibits submitled are lrue and correcl.
ruame: Douquns H*lrs=-* contact: D,uQ f$-r-ised
nooress: i1969 N*H siLp-rDz phone:3ZD - 7a7 _l il B
city/state/zip gpIcEA r,".r./ 5G268 Cell
Fax
3zo4Y,-8<93
Email r-,Con,-
Signature Date:5.
This application must be completed in full and must be accompanied by all information and plans required by
applicable City Ordinance provisions. Before filing this application, refer to the appropriate Applicalion Checklisl
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 submittal. A
written notice of application deticiencies shall be mailed to the applicant within '15 business days of application.
PROJECT ENGINEER (if applicable)
Name:Contact:
Phone:Address
City/State/Zip
Email:
Who should receive copies of staff reports?*Other Contact lnformation:
# Prooertv owner Via: f'l Emart
Ei nppri".nt Via: Ei Email
! Engineer Via: E Email
E othef via: fl Emait
E[ Maiteo Paper Copy
E Maiteo Paper copy
E tr,,taiteO Paper Copy
E uaiteo Paper copy
Name
copy to the city for processing
SAVE FORM PRINT FORM SUBMIT FORM
Section4: Notificationlnformation
City/State/Zip
Email:
r*l
Signature:
Cell:
Fax:
Address:
INSTRUCTIONS TO APPLICANT: Complete 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