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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: Ae,PT 5 Z " 'I'''( Phone 7/ vs/ <br /> ADDRESS: -r'5% 2 /'1o1-*• FC/l <br /> Street Address, City, State, and Zip Code <br /> Interest in Property (check appropriate box): <br /> Owner of Property <br /> ❑ Contract for Deed Owner <br /> ❑ Lessee, Operator, Manager <br /> ❑ Agreement to Purchase <br /> ❑ Other (explain) <br /> Dav"ment—y tuidence of nppiicsint's interest in tha prnparty may he required before final City action of this request. <br /> PROPERTY INVOLVED: <br /> Address/General Location 4 12- <br /> Legal Owner: Name/Address o-�-^— <br /> Present Use (check appropriate box): <br /> ❑ UndevelopedNacant <br /> Single Family Dwelling <br /> • <br /> ❑ Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units ) <br /> ❑ Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: JO, Abstract ❑ Torrens <br /> REQUEST: <br /> !_ <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. <br /> ignature <br /> ******************************************************************************************** <br /> Rezoning $200/acre,minimum$200,maximum$1,000 Park Fund Dedication Fee <br /> R-1 to R-2-$75,all others$200 Date Paid <br /> `Z nal Use Per 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 Additional Fees Paid <br /> Minor Subdivision_ _ $150 Date Paid <br /> Major Subdivision $250 plus$250 deposit Receipt Number <br /> Comp. Plan Amendment $200 <br /> Wetland Alteration Permit $50 plus deposit determined by Staff TOTAL.FEES PAID JP*2 5 "bz) <br /> Wetland Buffer Permit $10 DATE PAID b p—9.1Planning <br /> ?.LPlanning Sign $50 RECEIPT NUMBER 3 Q I i <br /> PUD $350 <br /> PUD Amendment $150 Date of final action <br /> APPROVED 0 DENIED 0 TABLED 0 <br /> Date Ge ' '3o'41 2-- Planning Case No. 3 It 1 a-- Admin.Account No. ittei <br />