Preliminary Plat and Final Plat ApplicationCOMMUNITY DEVELOPMENT DEPARTMENT
Planning Division — 7700 Market Boulevard CITY OF CHANHASEN
Mailing Address — P.O. Box 147, Chanhassen, MN 55317 IV,lr
Phone: (952) 227-11001 Fax: (952) 227-1110
APPLICATION FOR DEVELOPMENT REVIEW
Submittal Date: PC Date: CC Date: 60-Day Review Date:
Section 1: Application .apply)
(Refer to the appropriate Application Checklist for required submittal information that must accompany this application)
❑ Comprehensive Plan Amendment ......................... $600
❑ Minor MUSA line for failing on -site sewers..... $100
❑ Conditional Use Permit (CUP)
❑ Single -Family Residence ................................ $325
❑ All Others......................................................... $425
❑ Interim Use Permit (IUP)
❑ In conjunction with Single -Family Residence.. $325
❑ All Others......................................................... $425
❑ Rezoning (REZ)
❑ Planned Unit Development (PUD) .................. $750
❑ Minor Amendment to existing PUD................. $100
❑ All Others. ................................... .......... ......... $500
❑ Sign Plan Review ................................................... $150
❑ Site Plan Review (SPR)
❑ Administrative.................................................. $100
❑ Commercial/industrial Districts* ...................... $500
Plus $10 per 1,000 square feet of building area:
( thousand square feet)
'Include number of exi._ _sting employees:
*Include number of new employees:
❑ Residential Districts ......................................... $500
Plus $5 per dwelling unit ( units)
® Subdivision (SUB)
❑ Create 3 lots or less ........ ................................ $300
® Create over 3 lots .......................$600 + $15 per lot
( 4 lots)
❑ Metes & Bounds (2 lots) ................. ................. $300
❑ Consolidate Lots..............................................$150
❑ Lot Line Adjustment.. .... .................................. $150
® Final Plat ...................................................... .... $700
(includes $450 escrow for attorney costs)*
"Additional escrow may be required for other applications
through the development contract.
❑
Vacation of Easements/Right-of-way (VAC)........ $300
(Additional recording fees may apply)
❑
Variance (VAR) ..................... ...............................
$200
❑
Wetland Alteration Permit (WAP)
❑ Single -Family Residence ...............................
$150
❑ All Others .......................................................
$275
❑
Zoning Appeal ......................................................
$100
❑
Zoning Ordinance Amendment (ZOA).................
$500
NOTE: When multiple applications are processed concurrently,
the appropriate fee shall be charged for each application.
® Notification Sign (City to install and remove)................................................................................................ ....... $200
® Property Owners' List within 500' (City to generate after pre -application meeting) .................................................. $3 per address
(44 addresses)
❑ Escrow for Recording Documents (check all that apply)....................................................................... $50 per document
❑ Conditional Use Permit ❑ Interim Use Permit ❑ Site Plan Agreement
❑ Vacation ❑ Variance ❑ Wetland Alteration Permit
❑ Metes & Bounds Subdivision (3 dots.) ❑ Easements (_easements) ❑ Deeds
TOTAL FEE: 1492
Section 2: Required Information
Description of Proposal: Proposed lot split that would subdivide an existing residentaii parcel into 4 compliant RSF lots.
Proposed plat name: Fox Hill Drive
Property Address or Location:
Parcel #: 250010200 a Legal Description: _
Total Acreage: 2.47 Wetlands Present?
Present Zoning: Single -Family Residential District (RSF)
Present Land Use Designation: Residential Low Density
Existing Use of Property: Single Family Residential lot
®Check box if separate narrative is attached.
581 Fox Hill Drive
See Narrative
® Yes ❑ No
Requested Zoning: Single -Family Residential District (RSF)
Requested Land Use Designation: Residential Low Density
Section 3: Property Owner and Applicant 1
APPLICANT OTHER THAN PROPERTY OWNER: In signing this application, I, 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. If 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 maybe 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: Lr}OVAU CUSTOv►-x ADMOS Contact: C ubWJ Me yes
Address: 1$3SZ N1in1Vf7'b,1,tkA SLViD, Phone: 612- ZS2 4'�l
CitylState/Zip: WAY lATA M 111 Cell: (Sp i 2 •- Z$ 2 - Oct / 8
Email: Fax: /U/14
Signature: VI-U .,=:::� l"---, Date: CO
PROPERTY OWNER: In signing this application, I, as property owner, have full legal capacity to, and hereby do,
authorize the filing of this application. I understand that conditions of approval are Minding 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: Pox Hill Properties, LLC Contact: Andy Awes
Address: 14530 Martin Dr. Suite 120 Phone:
City/State/Zip: Eden Prairie, MN 55344 Cell; 612-396-6478
Email: andy@committeefilms.com Fax:
Signature: Date: 6/15/22
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 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 submittal. A
written notice of application deficiencies shall be mailed to the applicant within 15 business days of application.
PROJECT ENGINEER (if applicable)
Name: Ailiant Engineering Inc. Contact: Seth token
Address: 733 Marquette Ave, Ste 700, Minneapolis Phone: (612) 767-9356
CitylState/Zip: Minneapolis/MN/55402 Cell:
Email sloken @alliant-inc.com Fax:
Section. ►
Who should receive copies of staff reports? *Other Contact Information:
❑✓ Property Owner Via: ❑✓ Email ❑ Mailed Paper Copy Name:
❑✓ Applicant Via: ❑✓ Email ❑ Mailed Paper Copy Address:
[� Engineer Via: 0 Email ❑ Maiied Paper Copy City/State/Zip:
❑ Other* Via: ❑ Email ❑ Maiied Paper Copy Email:
INSTRUCTIONS TO APPLICANT: Complete all necessary form fields, then select I,,; .: to save a copy to your
device. and deliver to city along with required documents and payment. to send a digital
copy to the city for processing. SAVEFORM ` PRINT FORM SUBi41kT FORM