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APR � 5 2086 <br />��//��' ��** <br />AdOAL <br />�C®QJMUNIITYDEVELOPINENTDEPARTMENT <br />PLANNING APPLICATION <br />240Il County Road Il®, Mounds View, MN 55IlIl2 <br />(763) 717-402O * Pax (763) 717-4019 <br />permits@chmounds-vienn . mus <br />Please Type or Print Information - Complete Both Sides of This Form <br />Appilcaanit Information <br />Name of Applicant Work # <br />Address 'Y&(/.7 /Z'/t4 LN NE' City /1/a%ne State M'y Zip ,fryy% <br />Home # Cell # 6/2 - 3.-6 - 78 yd Fax # <br />Mfn, coy' <br />Interest in Property (check appropriate box) <br />❑Owner of Property ❑ ,Contract for Deed Owner El Lessee, Operator, Manager <br />❑Agreement to Purchase IJOther Seg )0^ at{or <br />App/icantsmustprovide evidence ofinterestin propertyatthe 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 consent to the tiling of this application or the propertyownermustsign this application for <br />it to be accepted. <br />Property Description/ Proposal <br />Address or General Location 60K^:/N <br />Legal Description <br />LN7l'{frw.n CU", 17 7, <br />Property Identification # (PIN #) 07. 30. 2.3. 3/. 005'Z- <br /># <br />0SZ# of Acres 7. O Z 00 Current Zoning 4-/ <br />opl <br />Type of Application (please check the appropriate boxes): 3z3 <br />/nu 2,011 -a�J <br />5- <br />Comprehensive Plan Amendment <br />500 <br />Rezonin <br />500 <br />Ma'or 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 City Code <br />300 <br />Develop 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 />LJ <br />