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APR v 5 2016 <br />COMMUNITYDEVEILOPMENTDEPARTMENT <br />M l S VISPLANNIING APPLICATION <br />2401 County Road 10, Mounds View, MN 55112 <br />(763) 717-4020 * Fax (753) 717-4019 <br />pewmits@ci.mounds-view.mn.us <br />Please Type or Print Information - Complete Both Sides of This Form <br />Applicant Information/� <br />Name of Applicant /� ua.,k X/0.'t 5 Worl< # <br />Address y=' Z NE city /J/—'ne state "1N Zip $-'- <br />Home # Cell # 6/2 - 3.-6 - 78 r1X Fax # <br />E-mail 1ecV,VLLL' aenfl, cow7 - <br />Interest in Property (check appropriate box) <br />❑owner of Property El Contract for Deed Owner ❑Lessee, Operator, Manager <br />❑Agreement to Purchase NJother !r6n)0^ Pasro/ <br />App/icantsmustprovide evidence ofinterestin propedyat the time of application, and ifyou are <br />not the owner of the property, you must either provide a letter of permission from the owner <br />giving consentto the Fling ofthisapplicadon orthe propertyownermustsign thisapplication for <br />it to be accepted. <br />Property Description/Proposal <br />Address or General Location Z Fril f 112, ilio .Adr <br />Legal Description <br />La,l4e~i C4^/ -c4 ' <br />Property Identification # (PIN #) 07. 30. 2 3. 3 /. o oSZ <br /># of Acres -7-0 ?- 00 Current Zoning k - <br />oa <br />Type of Application (Please check the appropriate boxes): <br />M_U;7)0) (tr -DDJ <br />W <br />!�v etirvLc`'.�C{i5' <br />C: vv� <br />,,lL `a� dL' •,n���2 <br />�Lr�, •v�v-� <br />1 jL .;r) i;' <br />'(IIC.GL Lti N� <br />L/jV G'r'i�1v v� <br />b—, riga yr <br />Comprehensive Plan Amendment <br />500 <br />Rezonin <br />500 <br />Maier Subdivision <br />700 <br />Minor Subdivision <br />350 <br />Planned Unit Development PUD <br />750 <br />PUD Amendment <br />400 <br />Conditional Use Permit/Amendment <br />R-1 R-2 <br />200• all others 400 <br />Interim Use Permit/Amendment <br />400 <br />Variance <br />R-1 R-2 <br />200• all others 400 <br />Administrative Variance <br />R-1 R-2 <br />100 <br />Text Amendment Zoning Code <br />400 <br />Text Amendment Other Ci Code <br />300 <br />Develo Review/Site Plan Review <br />400 <br />Wetland Alteration Permit <br />R-1 R-2 <br />200• all others 350 <br />Wetland Buffer Permit <br />R-1 R-2 <br />30• all others 100 <br />Easement Vacation <br />250 <br />Re -approval of Minor Subdivision or Plat <br />Minor Subd. 50• Plat 100 <br />Zoning Review of B-1 District Proposed Use <br />200 <br />Page 1 of 2 <br />ILJ <br />