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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: CPr,VDv Phone -7 Fq °° <br /> ADDRESS: k3C'S aL—LRJ�4U '` /\m'c)s 1,40,4, / 1A) <br /> Street Address, City, State, and Zip Code <br /> Interest in Proper (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: • <br /> Address/General Location 83'8 KpoLt—L-3O D'- <br /> Legal Description or Property Identification Number 1- o 2 .fo Ff oFs <br /> `io Cede(- Norc_04- <br /> Legal <br /> -©kLegal Owner: Name/Address 9-A.JosiD 4 Che&`( ( D de:v oe <br /> g 9e3 k/\)°(-6..la,. 0 \ b,t— (floorc}3' (lien/ n'2 J .5"-..5—(/2— <br /> Present Use (check appropriate box): <br /> ❑ UndevelopedNacant <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: ja Abstract 0 Torrens <br /> REQUEST: 0.0N►8tia m-c- Usc= p47-4/141T <br /> ck�,r. 14c �i a rJ fo Get raP)-0— t z x ZS 'C 3?b ). reef ,-,e>/.y-) <br /> erlatot- �og71-A ft mF 69 r4 74o /v01 S0 <br /> *Please note: Applicant may be responsible for additional fees associated with the iew of this r uest <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. <br /> SignatGre <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 Receipt Number <br /> Code Appeal $75 <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum$500 Total Fees Paid 7.S'00 <br /> Minor Subdivision $150 Date Paid 1l "41 <br /> Major Subdivision $250 plus$250 deposit Receipt Number yDOg <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 /1— "9 a— Planning Case No. 3 SS - w?—' Admin.Account No. n-/ 4 <br />