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CITY OF MOUNDS VIEW + <br /> PLANNING APPLICATION <br /> APPLICANT: /90. 3 74,— Phone <br /> 7„_,,,,,,, <br /> ADDRESS: 8)d/ <br /> r73--W75 <br /> i <br /> Street Address, City, State, and Zip Code c/. { 4- <br /> Interest in Property FA 1-1t� - 6v <br /> p rty (check appropriate box): <br /> [a Owner of Property <br /> 0 Contract for Deed Owner . ... _ _ _.... __ - . ..... ... _.. .-...._. <br /> µms <br /> rr . ❑ Lessee, Operator Ma• nager <br /> • . ❑ 'Agreement to )(1 box) ••• • Q• Other (explain) <br />• -Doaunentary evidence of applicant's interest in the property may be required before final City acton of this request. • <br /> PSOPE TY. INVOLVED: - • _. _ <br /> Address/General Location c�Da•! . ,, o ;Pam <br /> Legal Description or Property-Identification Nurnbe• <br /> rg o � y i -�Q� <br /> Ws-Mize Coe f . c � c �,srcC� <br /> Legal Owner: Name/Address e. l. i9 _ F�11 PFJ,/mac/ - <br /> •` u ua-fc,--1l • .S-7%/z - <br /> . Present Use (check appropriate box): • <br /> ❑ UndevelopeciNacant • <br /> ( Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling - .• <br /> ❑ Multi-Family (No. of Units ) <br /> ❑ Business/Commercial Establishment <br /> ❑ Industria! Establishment <br /> • <br /> ❑ Other (explain) <br /> Property Ciassification: [ Abstract ❑ Torrens <br /> • <br /> REQUEST: i,. ,ese' 244 -P.�-2fl-- <br /> 'Please note: Applicant may be responsible for adcitional fees associates with the review of this request. <br /> I HERESY DECLARE THAT THE ABOVE STATEMENT ARE TRUE �..�� <br /> x„ir,,,,r,r, Signature <br /> Rezoning $200/acre-minimum$200.matamum S1,000 Paris Fund Dedication Fee <br /> Variance FI-1 to R-2-S75.ail others=00 <br /> Daae ct Paid <br /> Conoiticnal Use Permit <br /> R-1 � R-2-575,ml others=CO Receipt Number <br /> Code Appeej $75 <br /> Oeveioo.iSite Plan Review •.• acre.minimum 100.maximum 5500 Total Fees Paid 1 1.50 <br /> Minor Subdivision 5150 <br /> Maur Subaivisipn . e Cara Paid .8-?- If 0 <br /> plus S2_0 deposit Receipt Number C-" LI ;r) <br /> Como- PlanAmendment 5200 <br /> Wetland Alteration Permit $50 plus deoc rat determined by Starf Additional Fee Paid IP <br /> Wedanc Surfer Permit Si 0 <br /> Panning Sign S50 Cate Paid <br /> Pan Receipt Number <br /> $350 <br /> PUO Amendment S150 <br /> Cats of nasal ac-.:on <br /> // APPROVED C DENIED C TAg� <br /> Dare • g"7 - 4/6 V <br /> Panning Case No. y-q <br />