Laserfiche WebLink
CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: NameDate //2 7 <br /> I �r/�v- <br /> U� Phone ?go-77/ 7 <br /> Address a.76.5— /11//_ -_-/-71.:,. ,/,& fi ; / <br /> Interest in 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 ?(9.S_ <br /> Legal Owner: Name/Address6 �jzj��,„/ 622,. ...5---,e/4.:: l ,O <br /> z,:___ _____,.,__ _„,2„.. <br /> Present Use (Check Appropriate Blank) : <br /> Undevel oped/Vacant Apartment <br /> )C Sinyl e Family Dwell my Business Esabl ishment <br /> Duplex Dwell my Industrial Establ ishment <br /> Multiple Dwell my (3-6 units) <br /> Other (expl ain) <br /> Property Classification: Abstract Torrens <br /> REQUEST: (Explain) i L <br /> • . _ .., A - L "�.e t- 4 '.57/y lam; <br /> - - i/% / <br /> he-ra d are—that the above—s-tatements are ,�e r--aw;-w- <br /> d�� 1ynature) <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 /ao • 00 <br /> Subdivision, Minor $100 ($75) Date Paid <br /> Rezoning 1—17�q� J <br /> Reing $100 <br /> Conditional Use ($50) Receipt. Number <br /> '7 �� <br /> $100 {��0) '06.ca <br /> Variance $75 ($50) <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 /> Receipt Number <br />