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+CITY OF MOUNDS VIEW <br /> ?3,ANNING A7'LIC TION <br /> APPLICANT: n� 4,� 1 - f /�1"T' i� • ` n� Phone 71 7 a5 <br /> ADDRESS: 12-. 1 J -P G E uD a e if PA <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 /> O Lessee, Operator, Manager <br /> ❑ Agreement to Purchase <br /> O 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 '61 7.l E' D U E t,.-; 0 & 0 I �7 , <br /> Legal Description or Property Identification Number <br /> Legal Owner: Name/Address 0ti s 5 p ;1 x,50 <br /> Present Use (check appropriate box): <br /> UndevelopedNacant <br /> Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units <br /> O Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: 0 Abstract ❑ Torrens <br /> REQUEST: A H U L 5 <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 /> ******************************************************************************************** <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 /> ononal Use Permi R-1 to R-2-$75,all others$200 Receipt Number <br /> Cppe $75 <br /> Develop./Site Plan Review $100/acre, minimum 100,maximum $500 Total Fees Paid '75•"2' <br /> Minor Subdivision $150 Date Paid q-3 — q'/ <br /> Major Subdivision $250 plus $250 deposit Receipt Number 4 Rq <br /> Comp. Plan Amendment $200 J <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 /> r APPROVED ❑ DENIED ❑ TABLED ❑ <br /> Date 9_30 - q 7 Planning Case No. Li a0 ^ 9 7 Admin. Account No. <br />