Laserfiche WebLink
CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> (�I Date 1 - <br /> APPLICANT: Name '`'\RY Phone ? '(,,- <br /> Address (y -DR. <br /> Interest in Property (Check Appropriate Blank) : <br /> X Owner of Record Lessee, Operator, Manayer <br /> Contractor for Deed Owner Ayreement to Purchase <br /> - Other (Expl ain) <br /> Documentary evidence of applicant' s interest in the property may be required <br /> before final City action on this request. <br /> PROPERTY : Address/General Location 7)-,.. (o1 T 0 CAK �rt <br /> Leyal Owner: Name/Address -.H-tARR•{ (V141,2,c 1\ti <br /> brt <br /> Present Use (Check Appropriate Blank) : <br /> Undevel oped/Vacant Apartment <br /> >l <br /> Sinyl e Family Dwell i ny Business Esabl ishment <br /> Dupl ex Dwell my Industrial Establ ishment <br /> - Multiple Dwell my (3-6 units) <br /> - Other (expl ain) <br /> Property Classification: Abstract Torrens <br /> REQUEST: (Expl ain) z, i i vv� L)5 .--PE� <br /> - � N k3 F .4/ 7Thr c\c <br /> I hereby decl are that the above statements are true. <br /> siyn�tur=-'Y <br /> FOR OFFICE USE ONLY: <br /> TOTAL BASE *(Base Fees are Non-Refundable) <br /> DEPOSIT FEES <br /> Subdivision , Major $250 ($150) TOTAL FEES PAID 4./do. 00 <br /> Subdivision , Minor $100 ($75) Date Paid a -9 d <br /> Rezoniny $100 ($50) Receipt Number 37 So <br /> Conditional Use $100 ($50) /00 - o <br /> Variance $75 ($50) <br /> Code Appeal $100 ($50) Par and Des ' ation <br /> Alteration Permit $150 ($50) _ Dat- Pa ' , /A: • ":1.1/A <br /> Pl an Review $100 ($50) Receipt Num.-r <br /> Other ($50) <br /> PLANNING SIGN $ 50 Addt'l Fees Paid <br /> Date Paid <br /> Receipt Number <br /> 7r-9— <br />