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For Office Use Only <br /> E� HILLS Planning Case No, 12- �ll� <br /> � Submittal Date <br /> 1245 West Highway 96 Application Completed Date <br /> Arden Hills, Minnesota 55112 Accepted by <br /> Telephone (651) 792-7800 Receipt Number <br /> Fax 651 634-5137 Council Decision <br /> 1www.ci.arden-hills.mn.us1 Council Decision Date <br /> 2012 LAND USE APPLICATION <br /> Applicant Information <br /> Applicant: t;HK16T1 (J lc 066000 <br /> Address: 1110 S 1Dt1M(3 L E; RD1k.D A V .O M Ft I L 4 ; MN 155111 <br /> Telephone No.: 105( . 24'1. 0545 Other: b'25 1. 3 6 7, (*311 <br /> Fax No.: NIA <br /> Email Address: oS9 ck r @ WA-t 1G1•eAu <br /> Property Information <br /> Property Owner: G"D 3 a4i"c'riNt o5cioop <br /> Owner Address: 12-69 Am a t r:% "AD A •P . K&M sSi IZ <br /> OwnerTelephone No. 641 . 2-41. OS4S Other: (Al. 3S'l. (i 311 <br /> Address of Property Involved: I1615 AM 9 UE� "Af) A"eN 11 l t.LS PAN 5-012 <br /> Legal Description: 15 c K 151b 1--+ of W 9S V+ TIC W Z l0 F+ of LOT- q <br /> Property ID No.: '72.30. 23. 13. 00710 <br /> Type of Use: StN&IL6 FAMtV4 NyNLE <br /> Zone: 1�5IpCw-rI AL Property Acreage: ,e13 AcR-4S <br /> Type of Request ❑ Planned Unit Development Amendment($600; $300 if <br /> ❑ Comprehensive Plan Amendment ($850+$1,000 no Site Plan Review is required + $2,000 escrow) <br /> escrow) ❑ Site Plan Review ($300 + $600 escrow) <br /> Conditional/Interim Use Permit or Amendment ❑ Rezoning ($600 + $1,000 escrow) <br /> ($600; $300 if no Site Plan Review is required ❑ Zoning or City Code Amendment($600 +$1,000 <br /> + $600 escrow) escrow) <br /> ❑ Preliminary Plat($600 +$25 per lot+ $1,500 ❑ Minor Subdivision (lot split/consolidation) ($450 + <br /> escrow) $1,000 escrow) <br /> ❑ Final Plat($500 + $25 per lot) ❑ Variance (Zoning Code) ($300 +$600 escrow) <br /> ❑ Concept Planned Unit Development($300) ❑ Vacation of Easement or Right-of-Way($400 + $600 <br /> ❑ Master Planned Unit Development($600 + $2,000 escrow) <br /> escrow) ❑ Appeal of Administrative Decision ($100) <br /> ❑ Final Planned Unit Development ($300.00+ $600 ❑ Land Use Requests—Not Already Specified ($200) <br /> escrow) <br /> Revised: 12-08-11 <br /> Page 1 of 3 <br />