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Attachment A <br /> For Off ice Use Only <br /> EN HILLS Planning Case No. 20- <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 /> www.cityofardenhills.org Council Decision Date <br /> 2020 LAND USE APPLICATION <br /> Applicant Info tion <br /> _A iicant w •- r __ ��. <br /> Address: � <br /> Telephone No.: �� ] Other:Fax No.: <br /> Email Add - � <br /> Property Informatio <br /> Property Owner_ — I f <br /> Owner Address: <br /> Owner Tele hone No. I' �l I (� Other: <br /> Address of Property Involved: <br /> Legal Description: rJ2f �/ "]� ,2��3 <br />' _P=qyjD No.: <br /> Type of U : _ rc ►�\ <br /> Zone: r �,��{� -- i.. Pro ert Acrea e: <br /> Type of Request <br /> ❑ Comprehensive Plan Amendment Fee: $500+ ❑ (Fee: $5 or Escrow: <br /> Regulating Plan Amendment <br /> � [Fee: $5�0+ Escrow: $1,500) <br /> Escrow: $2,500) <br /> ❑ Zoning Code or TCAAP Redevelopment Code <br /> ❑ Conditional Use or Interim Use Permit/CUP or IUP Amendment(Fee: $400 + Escrow: $1,500) <br /> Amendment(Fee: $400+ Escrow: $1,500) ❑ City Code Amendment(Fee: $350+Escrow: <br /> ❑ Preliminary Plat(Fee: $500+ Escrow: $2,500) $1,500) <br /> Lot Split/Minor Subdivision (R-1 and R-2 Districts <br /> ❑ Final Plat (Fee: $500+ Escrow: $1,500) <br /> I ❑ Concept Plan Review(Fee: $150 + Escrow: Only)(Fee: $350 +Escrow: $1,000) <br /> $1,000) ❑ variance or Permitted Adjustment(Fee:$350 + <br /> Escrow: $1,000) <br /> ❑ Master Planned Unit Development or Master Special [] Vacation of Easement or Right-of-Way(Fee: $150+ <br /> Development Plan (Fee: $500 + Escrow: $2,500) Escrow: $1,000) <br /> ❑ Final Planned Unit Development or Final Special ❑ Appeal of Administrative Decision (Fee: $150 + <br /> Development Plan (Fee: $350 + Escrow: $1,500) Escrow: $1,000) <br /> ❑ Planned Unit Development Amendment or Special ❑ Land Use Requests—Not Already Specified(Fee: <br /> ❑evelo ment Plan Amendment(Fee: $400 +Escrow: $150+ Escrow: $1,000 <br /> $1,500f <br /> ❑ Site Plan Review(Fee: $400+ Escrow. $1,500) <br /> Page I of 3 <br />