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<br /> ❑ Contract for Deed Owner
<br /> 0 .- Lessee, Operators Manager ; .
<br /> . .. _ n-F:r i r
<br /> - ❑ ` Agreement to Purchase..:-"
<br /> . Otr - �:
<br /> ❑ her (explain) '-" ` _ .
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<br /> Documentary evidence of applicant's Interest in the property may be required before final City action of this request.
<br /> PROPERTY INVOLVED -_ ;s,:.,-. .2 _.
<br /> Address/General Location~ `1- �J gd SPQ.n"JC� {�C. = 1
<br /> Legal Description or Property Identification Number
<br /> Legal Owner: Name Address - Yl/vvrz,---4� 'i , C1 'A g-O
<br /> ) c c tl� 5
<br /> Present Use (check appropriate box):
<br /> ❑ UndevelopedNacant
<br /> Single
<br /> J 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 0 Torrens
<br /> REQUEST: OU-et' c' 1' E 6M_ Pt 97 (n
<br /> j
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<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.
<br /> Signature
<br /> Rezoning $200/acre,minimum$200,maximum 51,000 Park Fund Dedication Fee
<br /> Variance R-1 to R-2-$75,all others$200 Date Paid
<br /> onditional Use Permp R-1 to R-2-$75,all others 5200 Receipt Number
<br /> ace Appeal $75
<br /> Develop./Site Plan Review $100/acre,minimum 100,maximum$500 Total Fees Paid
<br /> Minor Subdivision 5150 ��'00
<br /> Date Paid
<br /> 5- -q L..{
<br /> Major Subdivision 5250 plus$250 deposit Receipt Number If#1-&-
<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 /> L APPROVED 0 DENIED ❑ TABLED ❑
<br /> Date 5-a ,7-9 Planning Case No. 3 IF* 9/ - g Admin.Account No. !'L /i-
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