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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: 1pv\G.)U' `"Per,erabv Phone 7811- Co <br /> ADDRESS: ?-3(o& C1 v L6.4 e RD 1/141/ gni // a <br /> Street Addre City, State, ZipCode <br /> and C de <br /> Interest in Property jcheck 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 S5C.e.- SY r Zoi.e oaaCa <br /> Legal Description or Property Identification Number 2.67" .r<' b. ,' <br /> .41-c e < <br /> Legal Owner: Name/Address <br /> Present Use (check appropriate box): <br /> ❑ UndevelopedNacant <br /> p-' 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: /Abstract ❑ Torrens <br /> R QUEST: Q �J iQD . <br /> verse �,� a�ces��//"1:49 u� mks <br /> '711✓- ✓b.3 Q © �a..�k v/ 7 /5 Y'- C© /C'�►S�r- , <br /> *Please note: Applicant may be responsible for additional-_fees_acsocia :.s .-- - '- j <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. //e e <br /> Signature <br /> ******************************************************************************************** <br /> Rezoning $200/acre,minimum$200,maximum $1,000 Park Fund Dedication Fee <br /> Variance R-1 to R-2-$75,all others$200 Date Paid <br /> Conditional Use Permit R-1 to R-2=$�7 ..all others$200 Receipt Number <br /> Code Appeal $75 <br /> Develop./Site-Plan_Review $100/acre,-minimum400.maximum-$500 -- Total-Fees-Paid— <br /> Minor Subdivision $150 Date Paid AUCLf <br /> Major Subdivision $250 plus$250 deposit Receipt Number 474 Mil <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 ❑ TABLED 0 <br /> Date &) Q3 Planning Case No. � �.'3 Admin.Account No. <br />