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�--"" CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: . ,r) e:oa GLEA) NaICISTAD Phone 571- 70.2 A/ <br /> ADDRESS: 5'24'2- C/i P/Tot_ 5T ) 1-2 t 0 L Ey , 14 N 55&/a / <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 /> • 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 .23'2 e) A46). <br /> ' 4wa-i /0 , mou, i sui £l J <br /> Legal Description or Property Identification Number OF 30 2 3.3 100�. ''0 <br /> Legal Owner: Name/Address _0 N R,c H A n„so rJ — s7a I 6,,ffHa,(, C -fin <br /> aw?a--04 O U <br /> Present Use (check appropriate box): <br /> ❑ Undeveloped/Vacant <br /> ❑ Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units ) <br /> /a, Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: 0 Abstract gj Torrens <br /> REQUEST: SEE AT A C N E <br /> *Please note: Applicant may be responsible for additional fees associated with e ' of th'.- rj --t <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. / <br /> Signature <br /> Rezoning $200/acre.minimum$200,maximum$1,000 Park Fund Dedication Fee <br /> VariR-1 to R-2-$75,all others$200 Data Paid <br /> ConditionartJ Permit) R-1 to R•2-$75,all others$200 Receipt Nwnber <br /> Code Appeal $75 <br /> Develop./Site Plan Review $100/acre,minimum 100.maximum $500 Total Fees Paid ( AO 0'.00 <br /> Minor Subdivision $150 Date Paid 6 a(p-4� <br /> Major Subdivision $250 plus$250 deposit Receipt Number 1 ` 9(o <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 �3 Le `95 Planning Case No. j—� j Admin.Account No. ñ Ji <br />