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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPUCANT: k;./.)! 0/504-% - Mert U;)/e 4r. M ('L, Phone .--x,3 --10 6) <br /> • ADDRESS: '(7s7=2)o ;Clt, 54. S' 1.3. l ve/(y, /ilk) S S3 90 <br /> Street Address, City, State, and Trp 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 LA.5. }wy (0 ) C t - .1 L°' k <br /> MOtte elCiS U i (111. - Mcz keldsU i et,-) S6 i tu.se S'koP ki Ce)Ai-2 ti <br /> Legal Description or Property Identification Number 073r7g31/ • 079 -3 <br /> Legal Owner: Name/Address f aster CE,4e.r c se} <br /> , �7 Ur) i Uet-5; Rive, S+. a.t,.l, M i`i SS')11{-)677 <br /> Present Use (check appropriate box): <br /> ❑ Undeveloped/Vacant <br /> • <br /> ❑ Single Family Dwelling <br /> 411 ❑ Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units ) <br /> Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: 0 Abstract 0 Torrens <br /> REQUEST: U LP i c'i L t 1 i p-C uIV t,^i,c,HODY 'SIeS 0+- rlyd/I/,6-• <br /> ;:i, i . <br /> • Ili July /*V IT ft111loiv ri l K DhUr 1, (glib <br /> *Please note: Applicant may be responsible for additional fees associated with a review of this request • <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. & 7 <br /> Signature <br /> **!'k'dntl7l******it'#'it*****'Rpt*iU7l'*'itriX'******tit*******vrile1irsr*********tM****' ****'lt'4'**Ir**kit*'R*rt'!1F'hlt***** <br /> Rezoning $200/acre,minimum$200,maximum $1,000 Park Fund Dedication Fee <br /> Variance R-1 to R-2-$75,all others "• Date Paid <br /> Conditional Use Permit R-1 to R-2-$75,all .. - $200 Receipt Number <br /> Code Appeal $75 <br /> Develop./Ske Plan Review $100/acre,minimum 100,maximum $500 Total Fees Paid ;j 0 <br /> Minor Subdivision $150 Date Paid 4' 2 _<a/, <br /> Major Subdivision $250 plus $250 deposit Receipt Number ',x,7';,1' ' <br /> Camp. Plan Amendment $200 <br /> Wetland Alteration Permit $50 plus deposit determined by Staff Additional Fee Paid <br /> 0 Wetland Buffer Permit $10 Date Paid <br /> Planning Sign $50 Receipt Number <br /> PUD S350 <br /> PUD Amendment $150 Date of Mal action <br /> `' n APPROVED 0 DENIED 0 TABLED <br /> .* <br /> Date ` a-3 Li "1-9 Li Planning Case No. Cl(-e/ <br /> lC/-f Admin.Account No. r ' 7t <br />