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Attachment A <br />Office Use Only <br />'It I For EN HILLS Planning Case No. 22- 1A__ � <br />Submittal Date 14.3 'L'L <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 />2022 LAND USE APPLICATION <br />Applicant Information y� <br />Applicant: -� M Y L ii <br />Address: i LqL �(.c r1 ,��U l Tli . 1��//./'� <br />Telephone No.: 952 - 9qim_Tj Other: <br />Fax No.: <br />r <br />Email Address: �h1rv� <br />Property Information <br />Property Owner: 1 <br />Owner Address:_ lZ 4 <br />Owner Telephone No. to 5 1 <br />Address of Property Involved: J <br />Legal Description: <br />RIP <br />Property ID No " 3 �_ Z 2 c70 3 3 <br />Type of Use: (.(. <br />-- - — <br />Zone: Property Acreage: <br />Type of Request <br />❑ Comprehensive Plan Amendment (Fee: $550 + <br />Escrow: $2,500) <br />❑ Conditional Use or Interim Use Permit/CUP or IUP <br />Amendment (Fee: $400 + Escrow: $1,500) <br />❑ Preliminary Plat (Fee: $500 + Escrow: $2,500) <br />❑ Final Plat (Fee: $450 + Escrow: $1,000) <br />❑ Concept Plan Review (Fee: $300 + Escrow: $750) <br />❑ Master Planned Unit Development or Master Special <br />Development Plan (Fee: $600 + Escrow: $2,500) <br />❑ Final Planned Unit Development or Final Special <br />Development Plan (Fee: $350 + Escrow: $2,000) <br />❑ Planned Unit Development Amendment or Special <br />Develo ment Plan Amendment (Fee: $400 + Escrow: <br />$1,500f <br />❑ Site Plan Review (Fee: $450 + Escrow: $1,500) <br />ire <br />�502 <br />❑ Rezoningg or TCAAP Regulating Plan Amendment <br />(Fee: $500 + Escrow: $1,500) <br />❑ Zoning Code or TCAAP Redevelopment Code <br />Amendment (Fee: $400 + Escrow: $1,500) <br />❑ City Code Amendment (Fee: $350 + Escrow: <br />$1,500) <br />❑ Lot Split/Minor Subdivision (R-1 and R-2 Districts <br />Only) (Fee: $350 + Escrow: $1,500) <br />Variance or Permitted Adjustment (Fee: $350 + <br />Escrow: $1,000) <br />❑ Vacation of Easement or Right -of -Way (Fee: $150 + <br />Escrow: $1,000) <br />❑ Appeal of Administrative Decision (Fee: $150 + <br />Escrow: $1,000) <br />❑ Land Use Requests - Not Already Specified (Fee: <br />$150 + Escrow: $1,000 <br />Page 1 of 3 <br />