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Attachment A <br /> For Office Use Only <br /> DEN HILLS Planning Case No. 16- 015 <br /> Submittal Date <br /> 1245 West Highway 96 Application Completed Date <br /> Arden Hills, Minnesota 55112 Accepted by MW <br /> Telephone (651) 792-7800 Receipt Number [s 3 <br /> Fax (651) 634-5137 Council Decision <br /> www.cityofardenhills.org 4 Council Decision Date <br /> 2016 LAND USE APPLICATION <br /> Applicant Information <br /> Aj?plicant: Sfe. Nte- Per- IV IV I& — <br /> Address: lq qG 50Y), Dri V-G <br /> Telephone No.: (p Other: <br /> Fax No.: II <br /> Email Address: S 4-e e-j4 4- la- 0 6Wo e) vi-N_ <br /> Property Information <br /> Property Owner: +-e Ve + - i kf .Ju 4 /Ot Owner Address: .Liz MJN 5-511 E— <br /> _Owner Telephone No. (P.Jol 8,7 7 g Other: r�. <br /> Address of Property Involved: �� �� �'}rJj y' ❑� I�_ 1�� u .J`1 Z <br /> Legal Description: Lb 4- 13 t4 ,t Q i d r �•r114'l5 �/ � y1 IV_ <br /> Property ID No.: 2.L.I ols 2- .0 0 6I <br /> Type of Use: 9,e5 -e(tK r4 / <br /> Zone: A I Property Acreage: Sd- - <br /> Type of Request <br /> ❑ Comprehensive Plan Amendment(Fee: $500 + ❑ Rezoning or TCAAP Regulating Plan Amendment <br /> Escrow: $1,000) (Fee: $350 + Escrow: $1,000) <br /> ❑ Conditional Use or Interim,Use Permit/CUP or IUP ❑ Zoning Code or TCAAP Redevelopment Code <br /> Amendment (Fee: $350+ Escrow: $1,000) Amendment (Fee: $350+ Escrow: $1,000) <br /> ❑ Preliminary Plat(Fee: $500 + Escrow: $1,000) ❑ City Code Amendment(Fee: $350 + Escrow: <br /> ❑ Final Plat(Fee: $500+ Escrow: $1,000) $1,000) <br /> ❑ Lot Split/Minor Subdivision (R-1 and R-2 Districts <br /> ❑ Concept Plan Review(Fee: $150+ Escrow: Only) (Fee: $350 + Escrow: $1,000) <br /> $1,000) 12 Variance or Permitted Adjustment(Fee: $350 + <br /> ❑ Master Planned Unit Development or Master Special Escrow: $1,000) <br /> Development Plan (Fee: $350 + Escrow: $1,000) <br /> ❑ Vacation of Easement or Right-of-Way(Fee: $150 + <br /> ❑ Final Planned Unit Development or Final Special Escrow: $1,000) <br /> Development Plan (Fee: $350 + Escrow: $1,000) <br /> ❑ Appeal of Administrative Decision (Fee: $150+ <br /> ❑ Planned Unit Development Amendment or Special Escrow: $1,000) <br /> ❑evelopment Plan Amendment(Fee: $350 + Escrow: <br /> $1,000 ❑ Land Use Requests—Not Already Specified (Fee: <br /> $150 + Escrow: $1,000, <br /> ❑ Site Plan Review(Fee: $350+ Escrow: $1,000) <br /> Revised: 12-18-15 <br /> Page 1 of 3 <br />