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/ . <br /> CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> `SGS- "sit, <br /> APFUCANT: L-t►.1.c E C.e t tr\ic_. Phone 44a 4:71 V1 <br /> ADDRESS: 2"15 , wH c 4,L r Mt. 55111 <br /> / <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 /> g\ <br /> Lessee, Operator, Manager <br /> Agreement to Purchase <br /> ❑ Other (explain) <br /> Documentary evidence of applicant's Interest In the property ma beQ_reguiredbefore-final-City-action-of-this-request: <br /> PROPERTY INVOLVED: <br /> • <br /> Address/General Location l\t\N1t.iC15v t `::;(7.1_0(z421_. `7,14)99.1t1 c. C7 <br /> 1-�\g fi V, 1 QDKR'., . _ A _i i _ <br /> Legal Description or Property Identification Number <br /> Legal Owner: Name/Address 944c 6T ? <br /> `2221\iiiAr " 9s". .0,... f1.1 <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 /> 1 . Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Propeity Classification: ❑ Abstract 0 Torrens <br /> REQUEST: Q5c,Q, (i ot-ki_n i--1OLIA . \'ii 7,�2Mc c Tr C Fi>L A <br /> R (NUcT.Q_ rw T' Ni. ,_. ,.!.£n,\J i E.v-i Sk QC;Z.57 25:11. O '_ <br /> i)c Lt o tJ ( 9.4 --c S. / rr QL44t.,1 c . <br /> 'Please note: Applicant may be responsible for additional fees associated with th0 review of th's.r est <br /> i <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. , 1_„ , . \ - <br /> Signature <br /> Rezoning $200/acre,minimum $200,maximum $1,000 Park Fund Dedication Fee <br /> Variance . R-1 to R-2-S75.all others S 00 Date Paid <br /> Conditional Use Permit R-1 to R-2-$75.all er 200 ', Receipt Number <br /> Code Appeal S75 <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum$500 Total Fees Paid am)0• 'DU <br /> Minor Subdivision $150 Data Paid 7.4 .,A _ ,-:.? <br /> Major Subdivision $250 plus $250 deposit Receipt Number il„-- Z -.-1Comp. Plan Amendment $200 5 <br /> '•/etland Alteration Permit $50 plus deposit determined by Staff Additional Fee Paid • <br /> Y:etland Buffer Permit • $10 Date Paid <br /> -'anning Sign $50 Receipt Number <br /> 7•1 JD 5350 p <br /> PUD Amendment $150 Date of final action <br /> • APPROVED ❑ DENIED ❑ TABLED 0 <br /> Date I. - l ; - y 4 PlanningCase No. •1 5 - G1 <br /> Admin.Account No. )7 1 p} <br />