5.a Application_Sandager Amend CUPFile Nota 23 " d 7
APPLICATION FOR PLANNING AND ZONING REQUEST
City of Scandia, Minnesota
14727 209th Street North, Scandia, MN 55073
Phone 651/433-2274 Fax 651/433-5112 Web https://wmiv.cib2 candia.goni/
Please read before completing: The City will not begin processing an application that is incomplete. Detailed submission
requirements may be found in the Scandia Development Code, available at the City office and website www.ceityofscandia.com) and
in the checklist forms for the particular type of application. Application fees are due at the time of application and are not refundable.
1. Property Location: (street address, if applicable)
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2. Washington County Parcel ID:
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3. Complete Description: (attach if necessary)
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4. Owner(s):
Phone:
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(h)
(b)
Street Address: r ZCq 3 p t v_rV%td -iv I
E -Mail:
City/ State: Sf: H.v0L4t'. Mej SSeF'_
Zip:
5. Applicant/Copntac_t] Person:
Phone:
(b)
Street Address (Mailing):
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E -Mail:
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City/ State: s56� 3
Zip:
6. Requested Action(s): (check all that apply)
Variance Administrative Permit
Amendment (Development Code)
Variance Extension (type)
Amendment (Comp. Plan )
Conditional Use Permit (CUP) Site Plan Review
(type)
Subdivision, Minor
CUP Extension
Site Plan Modification
CUP/ Open Space Subdivision.
Subdivision, Preliminary Plat/Major
CUP/ Planned Unit Development Site Plan Extension
Subdivision, Final Plat
Interim Use Permit (IUP) Sign (Permanent)
Environmental Review
Annual Operators Permit
Wetland Review
7. grief Description of Request: (attach separate sheet i_f necessary; include Variance Rationale if
necessary)
8. Project Name:
I hereby apply for consideration of the above described request and declare that the information and materials
submitted with this application are complete and accurate. I understand that no application shall be considered
complete unless accompanied by fees as required by city ordinance. Applications for projects requiring more than one
type of review shall include the cumulative total of all application fees specified for each type of review. I understand
that applicants are required to reimburse the city for all out-of-pocket costs incurred for processing, reviewing and
hearing the application. These costs shall include, but are not limited to: parcel searches; publication and mailing of
notices; review by the city's engineering, planning and other consultants; legal costs, and recording fees. An escrow
deposit to cover these costs will be collected by the city at the time of application. The minimum escrow deposit shall
be cumulative total of all minimum escrow deposits for each type of review required for the project, unless reduced as
provided for by ordinance. The city may increase the amount of the required escrow deposit at any time if the city's
costs are reasonably expected to exceed the minimum amount. Any balance remaining after review is complete will
be refunded to the applicant. No interest is paid on escrow deposits.
PLEASE NOTE: If the fee owner is not the applicant, the applicant must provide written authorization by the fee
owner in order for this application to be considered complete.
Property Fee Owner Si natures;
Date:
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Applicant Signatures)
Date:
Application Fees:
Escrow Deposit
For City Use Only
#4 2.15 0 - cx> 1j61 — ' 3�-
City of Scandia, Minnesota
PAID
APR 0 7 2023
CIT`C OF SCANDIA
FAPR
VED
2023
CITY OF F ;ANDIA
Section 24 Township 032 Range 020 E1/2-SE1/4 S24T32R20 EXC: E 935FT OF THE S 1005FT OF SD E1/2
SUBJ TO CO RD #52 (FORMERLY HWY 97) ALG SLY LINE THEREOF & ALSO SUBJ TO 100FT EASE LYING NLY
OF & AD1 TO NLY R/W LINE OF SD CO RD 52-SUBJ TO AG PRES REST COVENANT TO EXPIRE 02-21-2014)
Planning and Zoning Applications Fee Schedule
Exceipt of 'Ordinance No. 2023-01, Adopted Jammy 4, 2023
AnWication Type
Variance
• Variance Extension - Administrative
• Variance Extension - City Council
Conditional Use Permit (CUP)
• Pre -application Review - Administrative
• Pre -application Review - Planning Commission
• Open Space Conservation Subdivision CUP
• Planned Unit Development CUP
dAll other Conditional Use Permits
UP Amendment
• CUP Extension - Administrative
• CUP Extension - City Council
Interim Use Permit (IUP)
Annual Operating Permit
• Annual Operating Permit Renewal - Administrative
• Annual Operating Permit Renewal - City Council
Administrative Permits
• Grading/Land Alteration
• Grading/Land Alteration more than 100 cubic yards
material
• Land Clearing
• Lot Line Adjustment/Lot Consolidation
■ Cell Tower Administrative Permit
• Sign (permanent)
• All other Administrative Permits
Site Plan Review
■ Pre -application sketch review, Planned Unit Development
• PUD Preliminary Plan
■ PUD Final Plan
• PUD Amendment
■ Pre -application sketch review, Open Space Conservation
Subdivision
■ Pre -application sketch review, all other
■ Preliminary staff panel review
• Site Plan Review, Minor Projects
■ Site Plan Review, Major Projects
• Plan Modification
• Site Plan Extension - Administrative
• Site Plan Extension - Council
Amendment
• Rezoning (Map Amendment)
• Amendment -Development Code Text
• Amendment -Comprehensive Plan Map
• Amendment -Comprehensive Plan Text
Application Fee Escrow Minimum
$200.00 $1,200.00
$50.00
$100.00 $450.00
No Fee
$1,000.00
$50.00
$750.00
$750.00
$4,500.00
$500.00
$3,000.00
$200.00
$2,250.00
$200.00
$��"
$50.00
$375.00
$100.00
$450.00
$200.00 $1,500.00
$100.00 $450.00
$200.00 $1,500.00
$50.00 $500.00
$50.00
$1,000.00
$75.00
$500.00
$50.00
$375.00
$50.00
$375.00
$ 50.00
$750.00
$50.00
$375.00
$200.00
$750.00
$200.00
$1,500.00
$200.00
$3,000.00
$500.00
$1,500.00
$500.00
$750.00
$50.00
$375.00
$50.00
$375.00
$100.00
$1,500.00
$250.00
$3,000.00
$50.00
$50.00
$100.00
$450.00
$500.00
$1,500.00
$500.00
$1,500.00
$500.00
$1,500.00
$500.00
$1,500.00