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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: i..4,J-Ir- 4 /,, aViet>is Phone 7 i"- -05-7/ <br /> ADDRESS: 7-5-/,,?4. 6&vecceJ a i.f6 j/ €s, W/7 5-5--//?.. <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 /> Address/General Location Sn <br /> V26 6,,o„r.�ckI jg, <br /> Legal Description or Property Identification Number D c& -30- -3 - ?-)-00v--) <br /> Legal Owner: Name/A dre � . � <br /> f-qr; Y Z;/,;,e.-, <br /> '54a/ T ir "ci. <br /> Present Use (check appropriate box): <br /> ❑ UndevelopedNacant <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:: Cr Abstract ❑ Torrens <br /> REQUEST: >e-.. Ro-ri'o1 q, /4./ ,4-,4, q/ J,�enc <br /> *Please note: Applicant may be responsible for additional fees associated with the r iew of thi r t <br /> r <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. L«,� � <br /> Signature <br /> Rezoning $200/acre,minimum$200,maximum$1,000 Park Fund Dedication Fee <br /> R-1 to R-2-$75,all others$200 Date Paid <br /> Conditional Use arra R-1 to R-2 all others$200 Receipt Number Ve Aaa $75 <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum$500 Total Fees Paid ,. , D O <br /> Minor Subdivision $150 Date Paid 2INIM <br /> Major Subdivision $250 plus$250 deposit Receipt Number 1ZTJji <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 /> ” G� APPROVED 0 DENIED 0 TABLED 0 <br /> Date 9 — l a - -/ 3 Planning Case No. 9-i3.3 5 Admin.Account No. <br />