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9CftYt rLand Use Application Department of Community Development Planning&Zoning 803 Old Hwy 8 NW•New Brighton,MN 55112•Phone:651-638-2100•Fax:651-638-2044 11N'f'11,1 ill/il N(His 11N')(Hi Date of Pre-Application Meeting: Case Number(s): SPZoI1/-Oa", Type of Request Short Description of Request (A written narrative describing your request in detail must be attached): ❑ Comprehensive Plan Amendment Adding three(3)antenna's panels to existing Fee: $1,090.00 telecommunications tower and three(3)remote-radio heads to ❑ Minor Subdivision already-leased ground space.The overall height of the tower Fee: $255.00 + $75.00 per proposed lot Will out lie iul.ICdJCd an1d 1111:G7UJt711g'culnpuund will nut be enlarged. ❑ Non-Conforming Use Permit Fee for R1 8s R2: $245.00 Site Address ;348 1st St SW,New Brighton,MN Fee for all other zones: $555.00 ❑ Preliminary Planned Residential Develop. Legal Description (attached additional pages if necessary): Fee: $745.00 + $95.00 per acre ❑ Final Planned Residential Development Fee: $245.00 ❑ Preliminary Plat Applicant Information Fee: $460.00 + $115.00 per acre Name: T-Mobile Central LLC Gat .., _ O Final Plat Address: 8000 W.78th St,Suite 400 C7 16) zlst3-C®l City: Edina Fee: $245.00 ❑ Preliminary Planned Unit Development State: MN Zip Code: 55439 Fee: $1,150.00 Daytime Phone: 612-701-2069 ❑ Final Planned Unit Development Fax: Fee: $245.00 Other Type/Cell: O Rezoning Email: chris.miller t-mobile.com Fee: $1,090.00 , S /41 ❑ Site Plan lican s Signature Date Fee: $510.00 O Special Use Permit-Residential Property Owner(if different than applicant) Fee: $340.00 Name: Crown Castle International • Special Use Permit- Comm/Industrial Address: 1001 Craig Rd,Suite 445 Fee: $590.00 City: St.Louis O Vacation State: MO Zip Code: 63146 Fee: $240.00 Daytime Phone: 314-372-2830 O Variance Fax: Fee for R1 86 R2: $295.00 Other Type/Cell: Fee for all other zones: $750.00 ❑ Zoning Code Amendment Email: Fee: $1,090.00 _ 11-S--(1/ f Own Signature Stag��y��RR Date By submitting this signed application, the applicant and property owner agree to provide the City with all necessary nRlrfiialtiryr�51kRidhl��P?g�3ti eys, drawings, and other materials necessary to process and examine this request. The applicant and property owner also agree to pay all fees at the time of application. The applicant and property owner also agree to allow, when necessary, City staff, City Council and Plann rig Coi t ��JJ ipsiq�4 e r$reasoi able access to the site where the planning consideration is being requested. � 44 Date Received: By: Date Accepted: RECEIVEDBy'