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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: +_ *- <br /> fa .. • Phone 150 -3 S L(. <br /> ADDRESS: 340o LI 1' h(.0.a L ( c0 n r-, <•P, HTO SS! ( <br /> Street Address, City, Stat, and Zp Code C? <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 lie property may be required before final City ac5on of this request. <br /> PROPERTY INVOLVED: <br /> Address/General Location a 3 7 S 14 !qh w C1.1 ( 0 <br /> Legal Description or Property Identification Number <br /> Liget Owner: Name/Address CD. C . (611. l t L: C.. <br /> Liao till? S- - mock rsjGri 4 (L t1ao ( <br /> Present Use (check appropriate box): <br /> ❑ UndevelopedNacant <br /> ❑ Single Family Dwelling • <br /> ❑ Duplex/Two Family Dwelling .__ <br /> ❑ Multi-Famiiy (No. of Units ) <br /> V <br /> Business/Commercial Establishment <br /> ❑ industrial Establishment <br /> ❑ Other (explain) <br /> Property Cassiiication: ❑ Abstract <br /> ❑ Torrens <br /> RECUEST: ap?relvcl.( o f rl.3 a t-11.ro4r� c 0foc ;I oroa1 tA.S4 r rk- -4- <br /> c 441 C;f n roS r a N a P ci m ext S-'F-t AM? a. r•cf-r, I-er <br /> CI <br /> t c5 P a Car COO Sl-, G „ct ex it/0 c r a rt.) ct. a on i I ab ie <br /> *°leas note: Applicant may be responsible for acditional fees associated with the revi of this request <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRU ,` <br /> �•� �,. Si• ature <br /> Rezoning <br /> S2CO/acre.minimum 5200.maximum S1.000 Paris • ._-!cation Fee <br /> Vanance R-1 5o R-2-575.al others=00 <br /> d <br /> Conditional Use Permit R-1 to R-2-575.ail athers 3200 Oto of <br /> Cade Appeal S75'----------- Receipt NPaitunber <br /> Deveiori Site Plan Review 5700/acre.minimum 100.maximum 5500 Total Fees Paid r2C.O C 6(1 <br /> Minor Sucoivision S150 <br /> Dae Paid h,Maior Suodivision 3250 pias 32.0 deaosrt Receipt NumserC:mo. ?an Amendment SCO <br /> Wetiand Alteration Permit S50 pias deposit determined by Staff <br /> Netiand Buffer Permit Aodi�cnar Fee Paid , <br /> S10 Cate Paid ("� <br /> Panning Sign $50 ..i <br /> PUO Receipt Number <br /> 50 <br /> P'JO Amendment 5150 <br /> Dare of 5nal ac-.;on <br /> APPROVED 0 DENIED _ TABIC 77 <br /> Oars /0- 7_ <br /> y'6o `Panning Case No. _ `I-qt-e' A,;,..i.. A............. V% / A- <br />