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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: l A O ,4.1(116-t I N cik,So 0 Phone '1 Y 1 -&i I <br /> ADDRESS: $;"7 PLect..sc c' • YJf';11e , /1-(0uekJDs 011 MAA) SSI z <br /> Street Address, City, State, and Zip Code <br /> Interest in Property (check appropriate box): <br /> 1311 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 SD ` 30-Ti:P/r14W4-'''t v.. *k cJAzeUe4e, <br /> Legal Description or Property Identification Number <br /> Legal Owner: Name/Address-tine c..towP paplz • <br /> Present Use (check appropriate box): <br /> ❑ Undeveloped/Vacant <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 3Z1' Torrens <br /> REQUEST: bu.1)r- 3\'sP `)n IratkOe C,O(AkAr GC. cc.t‘S Sib c4.9 <br /> 1(0 t k 4-0 rvl a.«`,rvt t Zo 40 0 Sct i4 )i 0v„4- <br /> *Please note: Applicant may be responsible for additional fees associated with the review of this request <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. 0vn..i .a t' - n uv. <br /> Signature <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 /> coonditional Use Perini R-1 to R-2-$75,all others$200 Receipt Number <br /> Comer a Appeal $75 <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum $500 Total Fees Paid /)5—'°° <br /> Minor Subdivision $150 Date Paid / if/ 4/-5-e-1 <br /> Major Subdivision $250 plus$250 deposit Receipt Number <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. & / — 9,3 Admin.Account No. 6n/14 <br />