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CITY OF MOUNDS VIEW - •- <br /> PLANNING APPLICATION <br /> APPLICANT: �t :r'-� and_ t`�i CJ OC� { �, Phone �-Qg30 <br /> ADDRESS: J --) M( Lt ,L S'-- - rYl1 5 rnk) 554A110 <br /> Street Address, City, State,–and Zip Code <br /> Interest in Property (check appropriate box): <br /> ❑ Owner of Property <br /> ❑ Contract for Deed Owner <br /> •. Lessee, Operator, Manager <br /> •e. Agreement to Purchase — 7 ,,;�,,—zz %`sem ��/-o.t/ <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: /2 gI a -%/o _30 T 3 -2-q-- 00-7ci <br /> Address/General Location C� i7zeav/ AA": 4-c,_ //e-W ,'i //( V <br /> Legal Description or Property.7Identification Number Z. ,i 3 /j/d c ) 3 <br /> S1 ( -f&)e-L I? c J - ,4 4 <br /> Legal Owner: Name/Address /*---/-9./a/-e //c e f`f c,r I.(' _ �� ��� /% <br /> rias`/ioe/'s ,G-,/ ; <br /> Present Use (check appropriate box): <br /> UndevelopedNacant <br /> ❑ Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units ) <br /> III <br /> ❑ Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: 0 Abstract 0 Torrens <br /> • <br /> REQUEST: ()ErTICU.�i i-yza, Lia, j i i�_+ ma.. i YYl ii i .� ua r're, <br /> — art a ' , t c r' ct c _. -Furt/e_h is jP- a/1 <br /> Cri- 6er�r-7? fcru <br /> z ;i t zhL . (-e 3Ii %cY'K nInc: 5 e_ -� <br /> rI <br /> *Please note: Applicant may be responsible for additional fees associated w th= revi w of 'his request <br /> I , ;� / <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. i�= ' „ <br /> Signatu - L Z././7-2 ,6;6(//2.„7.... <br /> Rezoning $200/acre.minimum$200,maximum$1,000 Park Fund Dedication Fee / <br /> Variance R-1 to R-2-$75,all others S200 Date Paid <br /> - Conditional Use Permit R-1 to R-2-$75, ail others$200 Receipt Number <br /> Code Appeal $75 <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum $500 Total Fees Paid <br /> Minor Subdivision $150 Date Paid <br /> Major Subdivision $250 plus$250 deposit Receipt Number <br /> Comp. Plan Amendment $200 <br /> Wetland Alteration Permit $50 plus deposit determined by Staff Additional Fee Paid <br /> Wetland Buffer Permit $10 Date Paid <br /> Planning Sign $50 Receipt Number • <br /> PUD $350 <br /> PUD Amendment $150 Date of final action <br /> c� /- / APPROVED 0 DENIED 0 TABLED 0 <br /> Date 9 - g - C 17 Planning Case No. 149.1 Ct(0 Admin.Account No. <br />