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Attachment A <br /> Planning Case No. 17- 01 k <br /> Submittal Date 0 f <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 /> www.cityofardenhills.org Council Decision Date <br /> 2017 LAND USE APPLICATION <br /> Ataglicant Information <br /> Applicant: HealthPartners Medical Group <br /> Address- 3930 Northwoods Drive, Arden Hills, MN 55112 <br /> Telephone No.: 952-883-5802 Other: ' <br /> Fax No.: NA <br /> Email Address: Todd.C.YounWa-)_HealthPartners.Com <br /> Property Owner: HealthPartners Medical Group <br /> owner Address: 8170 33rd AveS, Bloomington, MN 55425 <br /> Owner Telephone No. 952-883-5802 Other: <br /> Address of Property Involved: 3930 Northwoods Drive, Arden Hills, MN 55112 <br /> 1 1 <br /> Property ID No,: 273023140005 and Track R is 273023140014 <br /> Type of Use: Medical Clinic <br /> was: 1�f District _ -- P.r-cRe.rLy-Acreag.,e.:_4 N-t .97=to1a1.-5.2Zacres <br /> Type of Request <br /> ❑i Comprehensive Plan Amendment (Fee: $500 + ❑Rezoning or TCAAP Regulating Plan Amendment <br /> Escrow: $1,000) (Fee: $350 + Escrow: $1,000) <br /> Zoning Code or TCAAP Redevelopment Code <br /> Conditional Use or Interim Use Permit/CUP or IUP Amendment (Fee: $350 + Escrow: $1,000) <br /> Amendment (Fee: $350 + Escrow: $1,000) ❑City Code Amendment (Fee: $350 + Escrow: <br /> ❑ Preliminary Plat (Fee: $500 + Escrow: $1,000) $1,000) <br /> Final Plat (Fee: $500 + Escrow: $1,000) ❑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) 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) ❑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) ❑Appeal of Administrative Decision (Fee: $150 + <br /> Planned Unit Development Amendment or Special Escrow: $1,000) <br /> Development Plan Amendment (Fee: $350 + Escrow: ❑Land Use Requests —Not Already Specified (Fee: <br /> $1,000 <br /> $150 +Escrow: $1,000 <br /> ❑; Site Plan Review (Fee: $350 + Escrow: $1,000) <br /> Paget of3 <br />