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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: G',Ty h/r cic -4/2 •v // _..- ii Phone 7�1d-'6 <br /> ADDRESS: t"7H/ O,ry,!ral 4r"'�� 6 0.,ii /f/,/ �3 <br /> Street Address, City, State, and-Zip Code <br /> Interest in Property (check appropriatebox):.;:,' ,� <br /> El 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 A Y , /D • .4110..i!Ay .e'-ill <br /> .J10 14- Awa d an d &.1,'i u-,-.1- 'n I A 0-7j <br /> Legal Description or Property Identification Number j- ?7a„6,1,! 16r 70 <br /> 7-4 is .P/o, Ii - re 0-27 <br /> Legal Owner: Name/Address ii <br /> Present Use (check appropriate box): <br /> • UndevelopedNacant (rnGLadzs onx 9),17/c ,.a.'./y dw�8/??ID <br /> ❑ Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units <br /> ❑ Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: ❑ Abstract Ii3 Torrens <br /> REQUEST: MaiAir5/e`.!'1 tirsi1h 67:: .1-0 77....4 <br /> *Please note: Applicant may be responsible for additional fees associated w.h t revpvv of this requ t. p <br /> r�-[�fi•- <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE (RR-Iv!, PA- ,c, <br /> Signa e <br /> ******************************************************************************************** <br /> Rezoning $200/acre, minimum $200,maximum$1,000 Park Fund Dedication Fee <br /> Variance R-1 to R-2-$75,all others$200 Date Paid <br /> Conditional Use Permit R-1 to R-2-$75,all others$200 Receipt Number <br /> Code Appeal $75 <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum $500 Total Fees Paid _ 0.0 0 <br /> Minor Subdivision $150 Date Paid --)/ - r <br /> Major Subdivision $250 plus $250 deposit Receipt Number ,,, 321k, <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 /> • <br /> APPROVED ❑ DENIED 0 TABLED 0 <br /> Date Planning Case No. s4g- t q 4- Admin.Account No. <br />