Laserfiche WebLink
CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> Date 1 - as -9 <br /> APPLICANT: Name N}APY / �\ji 6 Phone -2?(,,- <br /> Address '%D(i) -RED C)A i& TR. <br /> Interest in Property (Check Appropriate B1ank) : <br /> X Owner of Record Lessee, Operator, Manager <br /> Contractor for Deed Owner - Agreement to Purchase <br /> - Other (Expl ain) <br /> Documentary evidence of appl icant' s interest in the property may be required <br /> before final City action on this request. <br /> PROPERTY : Address/General Location ( ] �i �� np K �g1 <br /> Legal Owner: Name/Address -1-\--Al R, di I`441,Zy 'N E - 6 .( <br /> / <br /> Present Use (Check Appropriate Blank) : <br /> Undevel oped/Vacant Apartment <br /> X Si nyl e Family Dwell ing Business Esabl ishment <br /> Dupl ex Dwell ing - Industrial Establ ishment • <br /> Multiple Dwell my (3-6 units) <br /> - Other (expl ain) <br /> Property Classification: Abstract Torrens <br /> REQUEST: (Expl ain) ,—I 3AJFkz. LL5a --PEn-1 r - !-/r7rif <br /> -k' FL. c 1/ mac <br /> I hereby declare that the above statements are true. / <br /> siyn•_turg, <br /> FOR OFFICE USE ONLY: <br /> TOTAL BASE *(Base Fees are Non-Refundabl e) <br /> DEPOSIT FEES <br /> Subdivision , Major $250 ($150) TOTAL FEES PAID /do. 00 <br /> Subdivision , Minor $100 ($75) Date Paid i -aa. -9 <br /> Rezoning $100 ($50) Receipt Number 37 so '/ <br /> Conditional Use $100 ($50) /00 • o a <br /> Variance $75 ($50) <br /> Code Appeal $100 ($50) Par and Des ' ation b <br /> Alteration Permit $150 ($50) Dat- Pa ' /AM /O <br /> Pl an Review $100 ($50) Receipt Num•-r 75-07 <br /> Other ($50) <br /> PLANNING SIGN $ 50 Addt'l Fees Paid <br /> Date Paid <br /> Receipt Number <br />