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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: 04,i,,,4 hN,)2..�.,v�i�E�vaf el6-Rvf? P. Phone 9A"/ <br /> ADDRESS: g 7,70'2 /4 6, .��tf7 /05 /I. .�n,q'is /%✓ •-...1.://c"? S <br /> Street Address, City, State, and Tip 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: J <br /> Address/General Location 7,;2 ___S lLL't'.0 G-,i,✓c <br /> Legal Description or CProperty Identification Number e y -3 0{- 3' `rd- <br /> �c\ 1!\ \f X t 3 L �i Li) v (`S- v -eA,4_Avv.��. <br /> Legal Owner: Name/Address £,.',-/- / /P-r ,977-77-1 ' - �r�c�c11 <br /> '� (1r--en.7- , 7/4' J C%. <br /> Present Use (check appropriate box): <br /> ❑ UndevelopedNacant <br /> ❑ Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling • <br /> ❑ Multi-Family (No. of Units ) <br /> m Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: 0 Abstract E Torrens <br /> REQUEST: C ��/ .2 0,-'1-e! ,t' �a 77?47 2�, <br /> �'�PL'G✓!��' C'La.,.T.F'/7 % Vii!�C �✓ `,�.P�ir-�� �-t�jy 7 <br /> *Please note: Applicant may be responsible for additional fees associated with the review of this request <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE /7-Ar"-{ <br /> teSi ature <br /> ***************************************************************** **** <br /> Rezoning $200/acre,minimum$200,maximum $1,000 Park Fund Dedication Fee <br /> V°f R-1 to - , Date Paid <br /> Conditi^-•� o —a�� R•1 to R-2 R-2 $75 <br /> -$75,all a others$200rs Receipt Number <br /> Code Appeal $75 <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum$500 Total Fees Paid qr 0 0 <br /> Minor Subdivision $150 Date Paid , 7 - <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 /> APPROVED 0 DENIED 0 TABLED ❑ <br /> Date 7 - /) Planning Case No. 4745 3 / Admin.Account No. n /09- <br />