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• CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> • APPLICANT: C 4 .G h VI oo,, 77ic 4.-lcPhone 7e6 - _ <br /> • ADDRESS: 7 l©( /f...< J c9c, 4,, <br /> Street Address, City, State, and Zip Code <br /> Interest in Pro e t cJ< W) -1 <br /> p rty (check appropriate box): <br /> ❑ Owner of Property 0 41a— ' ' <br /> ❑ Contract for Deed Owner <br /> ❑ Lessee, Operator, Manager <br /> Q Agreement to Purchase • <br /> 13 Other (explain) C 4.-c4 ) os-,,,I ✓1'I, ,.v 4, <br /> Documentary evidence of applicant's interest in the property may be required before final <br /> City action of this request, . <br /> PROPERTY INVOLVED: <br /> Address/General Location 7 t 0( ie-c—,1 D4 k -. <br /> Legal Description or Property Identification Number c5,6€ .5 �), 17 q <br /> 1.671Tri <br /> .._______________ 5 114-' <br /> Legal Owner: Name/Address C.4 .�,..,4 L( Tit 1 )b .,4- <br /> Present Use (check appropriate box): <br /> ❑ UndevelopedNacant <br /> 0 Single Family Dwelling <br /> • ❑ Duplex/Two Family Dwelling <br /> - ❑ Multi-Family (No. of Units ) <br /> ❑ Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> F Other (explain) CC,-„_4 >t Sc_4 do/ (r( lt <br /> S,6,,,...r <br /> Property Classification: Q Abstract <br /> 0 Torrens <br /> REQUEST: Co.1,i. J o-„( os, ,�. ..<< � , / 2-4744'57' ci Ste_ <br /> *Please note: Applicant may be responsible for additional fees associated with the review of this requ t <br /> I HERESY DECLARE THAT THE ABOVE STATEMENT ARE TRUE i.--/c1� A- c <br /> •**..**sa** Signature —' <br /> Rezoning 3200/acre.minimum$200.maximum 31,000 Park Fund Dedication Fee <br /> Variance R-1 to R-2-375,all others 3200 Data Paid <br /> and Use Permit R•1 to R-2-575,ail others$200 Receipt Number <br /> SL <br /> Code Ap 375 <br /> Develop./Site Plan Review $100/acre.minimum 100.maximum$500 Total Fees Paid /� <br /> Minor Subdivision 5150 Date Paid V <br /> Maior SubdivisionReceipt Number <br /> 5200 <br /> $250 plus$250 deposit �\ C' <br /> • Como. Plan Amendment <br /> Wetland Alteration Permit $50 plus deposit determined by Stair Additional Fee Paid <br /> Wetland Surfer Permit 310 Oats Paid <br /> Planning Sign $50 Receipt Number <br /> PUO 5350 <br /> PUO Amendment $150 Data of final aeon <br /> F I ( — (!� p, <br /> APPROVED ❑ DENIED ❑ TABUUO ❑ <br /> DaO <br /> ta Planning Case No. .� L t� Admin.Account No. <br />