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AR �5US, <br />Tg�q� G7®N�Ngi QUNRTV DEVELOPMENT DEPARTMENT <br />mo—S V1IJ�d9 PLANNING APPLICATION <br />uNoX40 1, cCounty Road 10, Mounds View, MN 55112 <br />(763) 717-4020 020 * Fax (763) 717-4019 <br />pea-m!ts@c11.mounds-v1ew.Mn.us <br />Please Type or Print Information - Complete Both Sides of This Form <br />Applicant nnffonmation <br />Name of Applicant /&,' I- XA."S' Worl<# 767-71y�1-/7!l6 <br />Address yrs y3 /Z I/ N 1'E' City /'�%n° State r%N zip r y y9 <br />Home # Cell # 6lz — 3 S-6 - 78yd Fax # <br />E -mall i�evk/, ys VOMJ�7. coM <br />Unterest in Property (check appropriate box) <br />El Owner of Property �❑CCoontract for Deed Owner El Lessee, Operator, Manager <br />❑Agreement to Purchase Ll Other <br />App/icantsmustprovide evidence ofinterestin propedyat the Nme ofapplication, 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 filing ofthis applicaflan orthe property ownerinustsiga this application for <br />itW.he accepted. <br />Property Description/proposal <br />Address or General Location Z �� ��"^�N �� �Z /y%.+n�f / iH✓ <br />Legal Description <br />Property Identification # (PIN #) 07. 30. 2.3. 3/. OOSZ <br />#of Acres 7.OO Current Zoning <br />Type of Application (please check the appropriate boxes): <br />!Ir.'a:)I'L -m ;z <br />r�9 C. J• 'l <br />�/iV G�l Lvv� <br />r <br />)Q1 o 1513 a -7 ( a <br />Com rehensive Plan Amendment <br />500 <br />Rezonin <br />500 <br />Major 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 />