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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION fG <br /> APPLICANT: C----/- -fee) I Xig-77-6s-- -,err Phone 7? -off vyGs <br /> ADDRESS: ?Y/ Jr� (//vim / - // l/r/��.� (/ib A`;/.- S—S-7/ <br /> Street Address, City, State, and Zip Cede <br /> Interest in Property (check appropriate box): <br /> Er 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 /> PROPERTY INVOLVED: <br /> Address/General Location 73/2 /2"bet< �- <br /> Legal Description or Property Identification Number Le:-- S/ Cuuc <br /> z.,/jlt- lJo a kS / <br /> Legal Owner: Name/Addres �o niti�) - S y776-e Lsn J YAJ <br /> / -l� /�+�� •d.�3�1 6't - Azt, <br /> Present Use (check appropriate box): <br /> • ❑ UndevelopedNacant <br /> ,14 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 [5( Torrens <br /> REQUEST: ��474-s/ attr- <br /> *Please note: Applicant may be responsible for additional fees associated wit review of this r=- est. <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE.TR <br /> Signature <br /> Rezoning $200/acre,minimum$200,maximum $1,000 Park Fund Dedication Fee <br /> Variance R-1 to R-2-$75,allothers$200 Date Paid <br /> Conditional Use Permit R-1 to R-2-41DI others$200 Receipt Number <br /> Code Appeal $75 co?, <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum $500 Total Fees Paid <br /> Minor Subdivision $150 Date Paid <br /> Major Subdivision $250 plus$250 deposit Receipt Number 6 of <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 /> APPROVED ❑ DENIED 0 TABLED 0 <br /> Date 3e../7/ ,, Planning Case No. 5t'TI —g7 Admin.Account No. <br />