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CITY OF MOUNDS VIEW <br /> 14- <br /> PLANNING APPLICATION <br /> (6V...-3(o' -44, <br /> APPLICANT: L ,Jc ci Ckri...ibrIa, 6.1C., <br /> Phone (05k_- 1',O-QS‘S <br /> ADDRESS: '11ZS \&1., iSl Y_ pv_. ,Pcx ),AKI l 11 <br /> Street Address, City, State, and Zip Code <br /> Interest in Property (check appropriate box): <br /> 0 Owner of Property . <br /> ❑ Contract for Deed Owner <br /> Lessee, Operator, Manager <br /> Agreement to Purchase <br /> ❑ Other (explain) <br /> Documentary evidence of applicant's Interest in the property may be required before final City action of this request. <br /> PROPERTY INVOLVED: <br /> Address/General Location � ,1 <' <br /> � 1, ._ t► L ' 1‘...% "I,I C • <br /> • :6 <br /> Legal Description or Property Identification Number <br /> Legal Owner: Name/Address PP c} M <br /> la:/_-) LINceLrr-/ ANL,. %-r'.PAtx.._ <br /> Present Use (check appropriate box): <br /> O UndevelopedNacant <br /> ❑ Single Family Dwelling <br /> • ❑ Duplex/Two Family Dwelling - <br /> ❑ Multi-Family (No. of Units ) <br /> D Business/Commercial Establishment <br /> O Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: 0 Abstract 0 .Torrens <br /> REQUEST: GOL lj)►-U04-L O _PkiLt.nri---10 O9i9s "fz. A L.1 -aA <br /> cu iL M 2 - pry- MOut4ff V i 6 JOR to Wu._ 1)6 n)2._ <br /> I.. L. It' kik k'* • r.• <br /> IWIII A Iv 11 .ti. <br /> *Please note: Applicant -y be responsible for ad. lona! fees associated with the review • .is r • -1. <br /> _\ <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. '-A _ `::., • <br /> Signature pii9t tc< <br /> *******************************************e*************************************I****1****** <br /> Rezoning $200/acre,minimum$200,maximum$1,000 Park Fund Dedication Fee <br /> Variance R-1 to R-2•$75,all others$200 Date Paid <br /> Conditional Use Permit 11-1 to R-2-$75,all others$200 Receipt Number <br /> - Code Appeal $75 <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum$500 Total Fees Paid <br /> Minor Subdivision $150 Date Paid <br /> Major Subdivision $250 plus $250 deposit Receipt Number <br /> Comp. Plan Amendment $200 <br /> • Wetland Alteration Permit ' $50 plus deposit determined by Staff Additional Fee Paid <br /> Wetland Buffer Permit $10 Date Paid <br /> Planning Sign $50 Receipt Number <br /> PUD $350 <br /> 1 PUD Amendment $150 Date of final action <br /> APPROVED ❑ DENIED ❑ TABLED 0 <br /> Date Planning Case No. Admin.Account No. <br /> 1 - <br />