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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: 1--'('‘i w`Q aft.;%, 41.1' s -1-AL Phone r a 1'3y 6 <br /> ADDRESS: I 15-'10 )ctSS ke y , J Pi � <br /> Street Address, City, State, and Zip Code 4 , <br /> Interest in Property (check appropriate box): <br /> ❑ Owner of Property <br /> ❑ Contract for Deed Owner <br /> ❑ Lessee, Operator, Manager <br /> Ij" 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 s +1 x t_LY <br /> t <br /> Legal Description or Property Identification Number <br /> Legal Owner: Name/Address 3.ete 'Atk,:r.:..L; <br /> Present Use (check a propriate box): <br /> UndevelopedNacant <br /> ❑ Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units ) <br /> 0 Business/Commercial Establishment <br /> Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: Abstract CI Torrens <br /> REQUEST: 6,c" ;U t)so__ car fr, 14— t. <br /> t,,,-4„ t L AaA. r lr s.1 p...1./7C A.---, 1 i.. l \ I. Z K 1.4._ <br /> -1.. ei tet.3 b211,41* tS.+ t`. vac,..,_ _4 <br /> *Please note: Applicant may be responsible for additional fees associated with the j. w of this request.------ <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. _. -...--,--:-..--- <br /> Signature <br /> rr <br /> *****************************************************************S*g*a***e****************** <br /> Rezoning $200/acre, minimum $200,maximum $1,000 Park Fund Dedication Fee <br /> Variance R-1 to R-2-$75,all others$200 Date Paid <br /> Conditional Use Permit R-1 to R-2-$75,all others$200 <br /> Code Appeal $75 Receipt Number <br /> Develop./Site Plan Review $100/acre, minimum 100,maximum $500 Total Fees Paid a/ <br /> Minor Subdivision $150 Date Paid i <br /> APT/Major Subdivision $250 plus $250 deposit <br /> Comp. Plan Amendment $200 Receipt Number <br /> Wetland Alteration Permit $50 plus deposit determined by Staff Additional Fee Paid <br /> Wetland Buffer Permit $10 Date Paid <br /> Planning Sign $50 <br /> Receipt Number <br /> PUD $350 p <br /> PUD Amendment $150 Date of final action <br /> / APPROVED p DENIED ❑ TABLED 0 <br /> Date ‘,./ .,A y Planning Case No. Admin.Account No. ry A <br />