For Office Use Only
Case Number:
Fee Paid:
Received by:
Date Filed:
Date Complete:
Base Fee: _______ Escrow: ________
18985 Meadow View Blvd.
Prior Lake, MN 553
72
Phone: 952.440.5515
www.creditriver-mn.gov
DEVELOPMENT APPLICATION
TYPE OF APPLICATION
Administrative Permit
Comprehensive Plan Amendment
Ordinance Amendment (Text or Map)
Interim Use Permit
Planned Unit Development (Concept/Gen)
Site Plan & Building Plan
Sketch Plan
Conditional Use Permit
Variance
Vacation
Simple Land Division
Subdivision Sketch Plan
Preliminary Plat
Final Plat
Other
______________
PROPERTY INFORMATION
Street
A
ddress:
Property Identification Number (PIN#):
Legal Description (Attach if necessary):
APPLICANT INFORMATION
Name: Business Name:
A
ddress:
City State: Zip Code:
Telephone: Email:
Contact: Title:
OWNER INFORMATION (if different from applicant)
Name: Business Name:
A
ddress:
City State: Zip Code:
Telephone: E-mail:
Contact: Title:
DESCRIPTION OF REQUEST (attach additional information if needed)
Existing Use of Property:
Nature of Proposed Use:
Reason(s) to
A
pprove Request:
PREVIOUS APPLICATIONS PERTAINING TO THE SUBJECT SITE
Project Name: Date of Application:
Nature of Request:
NOTE: Applications only accepted with ALL required support documents.
See Application Instructions and Ordinances
I, the unders
igned, hereby apply for the considerations described above and declare that the
information and materials submitted in support of this application are in compliance with adopted
Town policy and ordinance requirements and are complete to the best of my knowledge. I certify that I
am familiar with all application fees and other associated costs, and also with the procedural
requirements of the Credit River Township ordinances and other applicable regulations.
I understand that all Town incurred professional fees and expenses associated with the processing of
this request are the responsibility of the property owner and/or applicant and will be promptly paid. If
payment is not received from the applicant, the property owner acknowledges and agrees to be
responsible for unpaid fee balance either by direct payment or a special assessment against the subject
property.
I understand that this application will be processed in accordance with established Town review
procedures and Minnesota Statutes Section 15.99 as amended, at such time as it is determined to
be complete. Pursuant to Minnesota Statutes Section 15.99, the Town will notify the applicant within
fifteen (15) business days from the filing date of any incomplete or other information necessary to
complete the application. Failure on my part to supply all necessary information as requested by the
Town may be cause for denying this application.
I hereby authorize Town staff and consultants to enter upon the property subject to this application to
gather information pertinent to this request.
Applicant: Date:
Owner: Date:
NOTE: Applications only accepted with ALL required support documents.
See Application Checklist and Ordinances