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CSI O ��MOV?4DS�VIEW .-- <br /> Lynex Industries ,' 2 Phone 784-4040 <br /> i <br /> ICAN I. <br /> RESS: 4751 Mustang • C-4-YUe- f d t )S Iltci✓ imti 5S/( Z- <br /> Street Address, City, State, and Zp Code <br /> _ <br /> Interest in Property (check appropriate box): • <br /> ti 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 Clty action of this request <br /> PROPERTY INVOLVED: <br /> Address/General Location 47S( itt ttSTA- cci-cl-t. At Pub/O S V.ei,r) AIM Ss-11 L <br /> Legal Description or Property Identification Number pH.' 17 3° 1-3 1-3 Dao <br /> Lot 1 , Block 1 ,Moundsview 'Industrial Park No . 2 r(,S 0....1.-. <br /> Legal Owner: Name/Address <br /> IbYNo.-, epN �usyi:es, �%nc, 475( 04us7�•.C_ ctrCk , avN)s i1. L.✓( MIL/ SS7 z... <br /> Present Use (check appropriate box): <br /> . ❑ UndevelopedNacant <br /> ❑ Single Family Dwelling <br /> 0. Duplex/Two Family Dwelling ' <br /> ❑ Multi-Family (No. of Units ) <br /> ❑ Business/Commercial Establishment <br /> n Industrial Establishment . <br /> ❑ Other (explain) _ <br /> Property Classification: 0 Abstract 0 Torrens <br /> REQUEST: Site Plan REview <br /> *Please note: Applicant may be responsible for additional fees associated with e review % 0 request C` <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. /'( SCE-( <br /> 6041v G. 5� 5 ignature , , , t <br /> Rezoning 5200/acre.minimum$200.maximum 51.000 Park Fund Dedication reef <br /> Variance R-1 to R-2-57 5.all others$200 Oate Paid <br /> Conditional Use Permit. R-1 to R-2-575.all others$200 Receipt Number <br /> Stip-e 44`. <br /> ,et( Coded c'S ,00 <br /> eveloo.r fan Review 5100/acre,minimum 100,maximum SSC0 Total Fees Paid �,e7_ �tQd ' r <br /> Mina ubdivisian Si 50 Oate Paid <br /> for Subdivision $250 plus$250 deposit Receiot Number d' <br /> `, .,? 739,3 <br /> Comp. Plan Amendment 5200 -,-.:,:;(4.11 4 ,�4° � <br /> Wetland Alteration Permit 5550 plus deposit determined by Staff Additional Fee Paid ,�.44 <br /> Cate Paid i <br /> Wetland Suffer Permit S10 &s i-„ "t/N0684/44‘'''''�-� <br /> Receipt Number zia <br /> Planning Sign $50 ,I-4`. �' , <br /> PUO $350 -,1,,,..-'4'11.-‘h---'-' e. <br /> PU enament 150 Date of final acxon . fi"" -----p--71, . a <br /> APPRCVED 0 ;D5_,a. i : ' Q <br /> �F�. .eau.. �� <br /> f�cxr„ y c <br /> Date z�/1s Planning Case No. 907 GS Admin Acca x ,- ,� ..... <br />