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7024 Dakota Ave signed applicationCITY OF CHANHASSEN Development Review Appl ication C01.1,,tU]{lIY DEvEtoPllEt{T DEPARTI'tEilt I Planning Division n00 l4arket Boulevard, Chanhassen. t4N 553u (P0. Box 147) Phone: (952) 22H100 / Fax: (9521 227-lll0 Check oll to opply. Refer to the appropriote Applicotion checklist for required submittal information that must occompony tnis opplicotion Comprehen sive Plan Amendment Cond itional Use Permit (CUP) s700 E subdivision (suB) Single-Family Residence............. All Others............ ! lnterim Use Permit (lUP) ln conjunction with Single-Family Residence All 0thers............ Rezoning (REZ)........................ PUD - Major/Minor Amendment Ma.1or Amendment to Existing PUD Minor Amendment to Existing PUD E Site Plan Review {SPR) N Cond itional Use Permit.....S50 Wetland Alteration Permit......S50 Variance..... S50 Plat 3 lots or 1ess................................. . S500 plat over 3 101s...................... ............ . S1,250 Metes & Bounds {2 lots)................. .......5500 Consolidate 101s..................................... S150 Administrative Subd. (Line Ad1ustment)...5150 Final P1at............. ..... 5500 Vacation of Easements/Right-of-way (VAC)...5300 (AddttLonal recordng fees nay apply) Variance(VAR)...............,... . .............S250 Wetland Alteration Permit (WAP) .S4oo .s600 ..54oo S6oo . s600 575o Sloo Sloo .... STso S5OO .. S2so s2,000 E Single-Family Residence All 01hers....................... Stso S27s !!g!g when multiple applicotions are processed concurrently, the opprcpriote fee sholl be chorged for eoch applicotion. Administrative.... Commercial/lndustrial Districts... E site Pl.n Agreement.......... ! Amendment to Site Plan Agreement......... E Development Review Escrow... Notification Sign (crty to rnstoll ond removd................... Escrow for Recording Documents (check alt that opply) Appeal of Administrative Decision... . ........5250 Zoning 0rdinance Amendment (Z0A)............5500 Development C0ntract.............. ......5500 [] Amendment to Development Contract...5250 . . s200 ............ S per document Site Plan Agreement.....S85 Vacation......S85 Deeds.... Sloo I0ITTFEE: 5OO -Oo lnterim Use Permit,...,.S50 Easements ( easements)..... S85 l'4etes & Bounds Sub (2 deeds)....5250 ! ltats & related documents....5450 *Additional escrow may be required f0r additional recording and attorney's fees lof 3 SECTI0N 0NE: APPUCATI0N TYPE { orurropl.rEilT REUtEw AppucATtol{ SECTION TWO: REQUIRED INFORMATION Description of Proposa|: T€-.if,sta we*ld be1oeated2groff -- Che* box Lf seoanteV narratLve s ottlocherl Property Address or Location Pa rcel + 252300130 Legal Description COLONIAL GROVE AT LOTUS LK LOT 021 BLOCK g Total Acreage E' Present Land Use Designation: Sinqle Unit Resid0 Requested Land Use Designation Sin le Unit Resident homestead APPLICANT oTHER THAil PRopERTY OWNER: ln signing this application, l, as applicant. represent to have obtained authorization from the property owner to file this application. I agree to be bound by conditions of approval. subject only to the right to object at the hearings on the application or during the appeal period. lf this application has not been signed by the property owner, I have attached separate documentation of full legal capacity to file the application. This application should be processed in my name and lam the party whom the city should contact regarding any matter pertaining to this application. I will keep myself informed of the deadlines for submission of material and the progress of this application. I further understand that additional fees may be charged for consulting fees. feasibility studies, etc. with an estimate prior to any authorization to proceed with the study. I certify that the information and exhibits submitted are true and correct. Name Richard David Cliett Contact 651-755-7153 6020 manchester Dr Phone 651-755-7153 City/State/Zip Golden Valley,MN 55422 E mail >> Signatu re PRoPERTY oWNER: ln signing this application, l, as property owner, have full legal capacity to. and hereby do. authorize the filing of this application. I understand that conditions of approval are binding and agree to be bound by those conditions, subject only to the right to object at the hearings or during the appeal periods. I will keep myself informed of the deadlines for submission of material and the progress of this application. lfurther understand that additional fees may be charged for consulting fees, feasibility studies. etc. with an estimate prior to any authorization to proceed with the study. lcertify that the information and exhibits submitted are true and correct. Name Kory Yamada Contact Kory (646) 421-0294 Add ress 7024 Dakota Ave Pho ne City/State/Zip Chanhassen/MN/5531 7 Ce ll ( Email >> Sig nature Date 2oI 3 Wetlands Present? Ves E ruo Z Existing Use of Property: SECTION THREE: PROPERTY OWNER & APPLICANT !NFORl'lATlON Address: - Cell: Date r 6.4.2026 6 4 2026 { orurrcpr.rEilT REUTEW Appr.rclTtoil This application must be completed in full and be typewritten or clearly printed and must be accompanied by all information and plans required by applicable City ordinance provisions. Before filing this application, refer to the appropriate Application Checklist and confer with the Planning Department to determine the specific ordinance and applicable procedural requirements. A determination of completeness of the application shall be made within l5 business days of application submittal. A written notice of application deficiencies shall be mailed to the applicant within l5 business days of application. SECTION THREE: PROPERTY OWNER & APPIICANT lNFORtlATl0N (CONT.I PROJECT ENGINEER (f applicable) Add ress Name Contact Phone: City/State/Zip Ce ll who should receive copies of staff reports? M Property Owner Email I Applicant Email [ ]Engineer Email ! otner {List LnformatLon beLow) Name Email 0 t I ETED BY CITY STAFFTOE COM APPTICAI!OII FOR DEUEtOPl.IEl{I REVIEW Submittal Date Planning Case Number PC Date CC Date: - 60-Day Review Date 3of3 Email: SECTI0N FOUR: NOTIFICATI0N INF0RMATION Complete all necessary form fields, then select SIUE Fonll to save a copy to your device or PItl{I Fonil to print a physical copy. To SUBillt YoUn APPUClflol{, please send this form and all associated documents to communitydevelopment@chanhassenmn.gov or deliver them to City Hall.