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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: Rc 0 e i /-3 Lt.)6-5-77 a 1 Phone 7;l -Q/q/ <br /> �� ca G <br /> ADDRESS: a 3 a ��-- i'rv-i <br /> e 61l o o DP <br /> Street Address, City, State, and Zip Code <br /> Interest in Property (check appropriate box): <br /> ❑V' Owner of Property <br /> ❑ Contract for Deed Owner <br /> ❑ Lessee, Operator, Manager <br /> O 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 i 2 3.2 Gr r h aJov.n/ yr- /3a r iI n r A <br /> l71`S' r?c�non r 'c� 03o � of 3 <br /> Legal Description or Property Identification Number pis-c? <br /> Sfck & e_ hc k /s Ter 3 i?loc/c' l <br /> Legal Owner: Name/Address a1 r fr a file-5 TPA a/ <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 /> • <br /> ❑ Other (explain) <br /> Property Classification: 0 Abstract 0 Torrens • <br /> REQUEST: -7-0 A I. ( e- c S 7 0 0--7 c S t'. c 4 <br /> ' <br /> *Please note: Applicant may be responsible for additional fees associated w' the review of this request <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. L aCV _ <br /> ignature <br /> ******************************************************************************************** <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 9 5•° ° <br /> Minor Subdivision $150 Date Paid 9-PST-"? <br /> Major Subdivision $250 plus$250 deposit Receipt Number 2 47 9.1.- <br /> Comp. <br /> .1Comp. 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 eZ 8-1,..? Planning Case No. 35 3"' 9,,I, Admin.Account No. X149 <br />