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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: PAST EAD—ERPA SE S Phone 6'_ 790 1 <br /> ADDRESS: aaa7 UnJ/(J, ,41/ , S% / OZ-y MA). <br /> Street Address, City, State, and Zip Code <br /> Interest in Prop (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 a541 i OOi00.5 d1&--14) spviV E <br /> I�/A) )Eso7 FASIZICS <br /> Legal Description or Property Identification Number t” - 3o 01-3 --//^000( <br /> Legal Owner: Name/Address <br /> Present Use (check appropriate box): <br /> ❑ UndevelopedNacant <br /> ❑ Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling <br /> 0. Multi-Family (No. of Units ) <br /> Business/Commercial Establishment <br /> Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: ❑ Abstract 0 Torrens <br /> REQUEST: We- REQVES7 VA/Vico-0(E 7D ME. <br /> o,t)lAUAA)cE. 7D Auacv i b/ <br /> r R sly <br /> *Please note: Applicant may be responsible for additional fees associated with the review ofthis request. <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. <br /> Signature <br /> Rezoning $200/acre,minimum$200,maximum $1,000 ark 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-$75,all others$200 Receipt Number <br /> Code Appeal $75 <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum$500 Total Fees Paid eR4/1•DO <br /> Minor Subdivision $150 Date Paid <br /> Major Subdivision $250 plus$250 deposit Receipt Number x397 <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 0 DENIED 0 TABLED 0 <br /> Date q-A s"--7.1- Planning Case No. ;S/— 9.2*-' Admin.Account No. V1.J <br />