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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> DatecJAN do?,:/9gI <br /> APPLICANT: Name /OM -D U R4 6 (14 LP/ —oo?p Phone(0)763— 87A/ <br /> Address 8315 Tf t„EASAk3 T JiEw —D2'UE <br /> Interest' 'n Property (Check Appropriate Blank) : <br /> Owner of Record Lessee, Operator, Manager <br /> Contractor for Deed Owner Agreement 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 S3I5 f?LEAsfl1.3T View lWE <br /> LOT 4- � IjLoc I -fZ.Ef5ANT \.)1 ew es-1-1.,-res <br /> Legal Owner: Name/Address AGAVE <br /> Present Use (Check Appropriate Blank) : <br /> Undevel oped/Vacant Apartment <br /> f/Sinyl e Family Dwell my 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 Toren <br /> REQUEST: (Expi ain) lot, QAI2-AG.€"/C-tiq,eA CE I/(?4 <br /> "7o e <br /> gX/57 o- -AzAC-e- DVersf3erl garage. <br /> PERsu,�vey isPIAN DRAw!ivc-s 9 <br /> e e y e Tare tit the above statements are true. 4\ L- 0(ii------1 <br /> (siynature) <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 4100 00 <br /> Subdivision , Minor $100 ($75) Date Paid l—ad—GQ <br /> Rezoniny $100 (W)_ Receipt_Number_- --..5q _ <br /> Conditional Use $100 ($50) 4/00,00 <br /> Variance $75 ($56) <br /> Code Appeal $100 ($50) Park Fund Dedication - <br /> Alteration Permit $150 ($50) Date Paid <br /> Plan Review $100 ($50) Receipt Number <br /> Other ($50) <br /> PLANNING SIGN $ 50 Addt'l Fees Paid <br /> Date Paid <br /> 3 ?e - 4 a Receipt Number <br /> 21? <br />