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/ _ 1- <br /> CITY OF MOUNDS VIEW <br /> P ING APPLICATION 2PV <br /> APPLICANT: EJf�'L/ �� Fhone <br /> ADDRESS: 9 71.0,97 e oo151 4-44) it) De. / / 4'/1/,bS Vick) it/135-1/2--- <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 /> ❑ 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: , 'l pQ �/ <br /> Address/General Location �ri�'Ua,-a- € Z-- vz tc.0-J qtr 53 /17-- <br /> Legal <br /> 1 Z <br /> Llai D��ript' or 'o I �tif atio Number. G <br /> Id •. g. <br /> e_yki <br /> l <br /> L4 IOwneNa /Address <br /> id l.ey GrG ) j ? )Y!- //L <br /> Present Use (check appropriate box): <br /> ❑ Undeveloped/Vacant <br /> Single Family Dwelling <br /> p Duplex/Two Family Dwelling . <br /> ❑ Multi-Family (No. of Units ) <br /> ❑ Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: f""' Abstract Of Torrens <br /> REQUEST: <br /> *Please note: Applicant may be responsible for additional fees associated Wit the review of this ' tie <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. <br /> / Signature ' <br /> ******************************************************************************************** <br /> Rezoning $200/acre,minimum$200,maximum $1,000 Park Fund Dedication Fee <br /> V R-1 to R-2 .......a- • ail others$200 Date Paid <br /> Conditional Use Pita.rR R-1 to R-115P all others$200 Receipt Number <br /> 'ode Appeal $75 <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum$500 Total Fees Paid 7S • <br /> Minor Subdivision $150 ' Date Paid I -Le -2 3 <br /> Major Subdivision $250 plus$250 deposit Receipt Number /v0'? <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 0 DENIED 0 TABLED 0 <br /> Date /— Z., - 9..3 Planning Case No. ZS ?- q 2 Admin.Account No. h /it <br />