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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: k? / S E411 � 0 _ <br /> Phone � SZor <br /> • ADDRESS: ( 9 7 KN36111,030,4 e. rtl V <br /> Street Address, City, State, and Zp 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 fequired before final Cay aeon of this request. <br /> PROPERTY INVOLVED: <br /> Address/General Location rl532 — 95%t S,Vver Like- /2a4.d <br /> Legal Description or Property Identification Number <br /> Legal Owner: Name/Address 1O ick Edi <br /> "7532. 5r"Jdcr 2.ct ire <br /> C O`int2.r+ x15140 r/Je e 1_,....kQ.._ <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 /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Cassmcation: ❑ Abstract • <br /> Z Torrens <br /> REQUEST: 77i-ke. Io� , ,' l Fra., n 5 aa q& ci 0.c18 -D <br /> 11 SLt'D ,5i Luer L1 k4. 26041. <br /> • <br /> 'Please note: Acpiicant may be responsible for accitional fees associated with e review of this request <br /> I HEFEEY DECLARE THAT THE AECVE S T A I:/EVT ARE TRUE. • e4 . <br /> - 411111 <br /> IfirsraqrimewlevrinrargronstwmirwiriruraSigna 4 re <br /> Rezoning 5200/acre.minimum$200.maximum 51.000 Park,Fund Dedication Fee <br /> Variance R-1 to R-2•S75.ail others=CC Oahe Paid <br /> Cancitional Use Permit R-1 to R-2•S75.ail others S2C0 <br /> Code Aped Receipt NumberS75 <br /> Oeveioo.:Site Pian Review 5100/acre.minimum 100.maximum SEC Total Fees Paid <br /> Ginor Suaaivision S150 / 'Oa o <br /> Oars Paid <br /> Allston =50 plus S250 deposit Receipt Number (1 3 1 / <br /> • Como. ?!an Amendment $200 <br /> wettana Alteration Permit S50 oius deposit determines by Start <br /> Wetlana Suffer Permit 510 ars d Fee Paid <br /> Cate Paid <br /> Panning Sign $50 Receipt Number <br /> PUD $350 <br /> PUD Amendment $150 Cass of final arson <br /> / APPROVED E OENIED _ TA8UD 77 <br /> Care / a -J7-01 ra Planning Case No. tkuu <br /> _ CI40 Admin.Account Na. AA, YIV <br />