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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: -7lcv,,, 8P-ac.1t Phone r U- Sid <br /> ADDRESS: G,-JS( n lam« >? 7y/ <br /> Street Address, City, State, and Zp Code <br /> Interest in Property (check appropriate box): <br /> E]' Owner of Property <br /> ❑ Contract for Deed Owner <br /> ❑ Lessee, Operator, Manager <br /> ❑ Agreement to Purchase • <br /> ❑ Other (explain) <br /> Documentary evidence at applicant's interest In the property may be required before firsai-i.'Yy-er!!on of this request.— <br /> PROPERTY <br /> quesiPROPERTY INVOLVED: <br /> Address/General Location 7$'57:::) S,'/19r 4 ,&- i.&/ <br /> Legal Desc>iionor Property I entification Number Z .2 ,�/o, / <br /> J <br /> Legal Owner: Name/Address .2. ,-ry /32G{. <br /> Present Use (check appropriate box): <br /> W 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: 0 Abstract Fi Torrens <br /> REQUEST: err .247574- 2,:t., e .51.,h o%'9,•,-0.,.) -� 4. - _...P <br /> SGt/a. iiv jj15-)-n.42,5 c:5-x-) 7=-"%., ,f , <br /> *Please note: Applicant may be responsible for additional fees associated with the eview of this request <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE ,1�y+ (- � <br /> ignafur4 <br /> tyr#+t#►#•r k x art*t##*yrit######tit##+ts,t#�##*+r#t+t*y#*####+r#at#�t###t#t-+#ys+t#yi»tinter##ri►+rtt+rtyntar#,ty##t <br /> Rezoning , $200/acre,minimum$200,maximum 51,000 Park Fund DedicationFee <br /> Variance R-1 to R-2-$75,ail others$200 Dab*Paid <br /> Conditional Use Permit R-1 to R-2-$75,all others$200 Receipt Number <br /> Code Appeal S75 <br /> DevelooJSits Plan Review 5100/acre,minimum 100,maximum$500 Total Fees Paid / '--O• O 0 <br /> Mawr Subd +o $150 Dat*Paid -5-ice - )— <br /> ubdiwa'vision $250 plus$250 deposit Receipt Number 41-7‘1,1 a <br /> Comp. Plan Amendment $200 <br /> Wetland Alteration Permit $50 plus deposit determined by Staff Additional Fee Paid <br /> Wetland Butter Permit $10 Oats Paid <br /> Planning Sign $50 Receipt Number <br /> PUO X50 <br /> PUD Amendment S150 Oats of final action <br /> APPROVED Q DENIED Q TABLED 0 <br /> Date a - C1 - a Planning Cass No. ?i.3 - ,a SJ <br /> Admin.Account No. f1 ( "frt <br />