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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: Lttiortn tac Phone 4536-Ca'1 t1 <br /> ADDRESS: 'DS 4V_ \i1/4.144trapct,[_ �k.. Srt-�Ppm n <br /> Street Address, City, State, and Zip Code <br /> Interest in Property (check appropriate box): <br /> ❑ 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\&001•IM\l t1 66OPo-14 t_b <br /> Legal Description or Property Identification Number <br /> Legal Owner: Name/Address QPtr12. 6t tTTd..QPAA <br /> 1-27L-1tit-ltvi ANLr %-r.PA0_- <br />• Present Use (check appropriate box): <br /> ❑ UndeveiopedNacant <br />• ❑ Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units ) <br /> ❑ Business/Commercial Establishment <br />• <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: 0 Abstract 0 .Torrens <br /> REQUEST: 1 rift-t — i3 1 902.t•s n- it O90 .R <br /> . \ utJo , <br /> L . <br /> )"M NE NOtoxtans v i c.vJu PK. . . <br /> C.. .Z.►P n okj S Exc.. <br /> *Please note: Applicant May be responsible for additional fees a- •ciated with the evi eo rt • <br /> '' i1 <br /> I HEREBY DECLARE THAT.THE ABOVE STATEMENT ARE TRU �'�� . A <br /> Signature <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 R-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 O <br /> Minor Subdivision $150 Date Paid <br /> Major Subdivision $250 plus$250 deposit Receipt Number ' 7C7 <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 /> PUD Amendment $150 Date of final action <br /> APPROVED 0 DENIED 0 TABLED 0 <br /> Date 'a?—// 7 Planning Case No. S I f' q 7 Admin.Account No. t\ 1 1 <br />