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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: PA57 , -AITERMtsgc.5 Phone C4Q-79o) <br /> ADDRESS: 2727 V0114 Ai/Er 57E'A'U r'/ M ), SSJ 14 <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 /> 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 0-577 /V O U/UQS (J JET) .59V4 <br /> 13i)t1E7- 2 /QU0/2 <br /> Legal Description or Property Identification Number o oo/ <br /> Legal Owner: Name/Address <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 /> ❑ Other (explain) <br /> Property Classification: 0 Abstract ❑ Torrens <br /> REQUEST: WE REQ L)E5T A V R)A1cg 7?) 72� <br /> of 7) Jc6 ,4 1-1_6a) /ok A <br /> *Please note: Applicant may be responsible for additional fe- - • '- -- - -•• of this. rePu,es+ <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. L, S- Z.S SZ <br /> Signature <br /> *********************************************************** ****************************** <br /> Rezoning $200/acre,minimum$200,maximum$1,000 - Fund Dedication Fee <br /> Variance R-1 to R-2-$75,all others$200 late 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 -TotaarFees F}afid- <br /> Minor Subdivision $150 Date Paid 9-.25- <br /> Major Subdivision $250 plus $250 deposit Receipt Number <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 /> /� q APPROVED 0 DENIED 0 TABLED <br /> Date % -as- ! y Planning Case No. 3S O ?2� Admin.Account No. 11 <br />