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- CITY---OF MOUNDS VIEW -_,. •, -
<br /> PLANNING APPLICATION -
<br /> S?eV -J ,4T 17 Date: .?'' /o .9_Z
<br /> APPLICANT: Name floc. - /Y1,q r /7".07);1--t".1- ' /✓G ;� i;phone ,j 7cr6-- Si 6 6
<br /> - Address SP/iw� z.,.i g PARD a
<br /> ' Interest in Property (Check Appropriate Blank) =a :
<br /> f
<br /> Owner of Record . Lessee', Operator, Manager
<br /> Contractor for Deed Owner Agreement to Purchase :
<br /> Other (Expl ain) /wRcv,".$&- - /no,ve i 1 ',le/et-6.06 'r
<br /> Documentary evidence of aPplicant s interest in the property may
<br /> _.
<br /> be required ,
<br /> before .final City action on this request. g
<br /> 4. - _iiiiier ,r,vefiwee, /Ply " i"_ t -:' .
<br /> PROPERTY: • Address/General Location a 6 - i {
<br /> Legal -Owner: Name/Address 41//61-C -- Ap4.;- ,(%s xr tr.r =fie c .,
<br /> • Present Use (Check Appropriate Blank) ,. ,.-_,,,,-- , ,,,-2,,,,r..,____ ,,....d. . 5
<br /> A Undeveloped/Vacant Apartment
<br /> a
<br /> f Single Family Dwell iny'' Business•Esabl ishment
<br /> - Dupl ex Dwell ing Industrial Establ ishment
<br /> Multiple Dwell my -(3-6 :units) 7,
<br /> tOther ;(expl ain) V ,
<br /> Property Classification bstract a ,, Torrenst 1 i °-'
<br /> REQUEST (Expl a i n) "S'iecs-'' )" /WD fe Td',tc'e z To, F ` 5 'fermi 7- ' /=0.2. ,
<br /> /fo.77 c ,4,✓od /J-/. C— #
<br />'rhereby,decl are that the above statements are rue. - i� ` - ,-
<br /> - c ,r
<br /> • F iynatur je t
<br /> FOR OFFICE USE ONLY - - -- r {F
<br /> t - TOTAL ';••„='-,':BASE *(Base Fees are Non Refundable) i � ' f
<br /> DEPOSIT FEES ` <. s £ '
<br /> ($150) •= t4s <{ . ,�;� .;
<br /> Subdivision, Mayor , - $250 o TOTAL#FEES PAID ,r -27_6 #oo ,- t
<br /> •Subdiv_ision, Minor .-._$100 ` ($75) "•'`,-,7P.'-.- Date .Paid � 1;`; 3.�o^q y
<br /> Rezoning ' $100 ,($5Q t Re_ceipt_N ber�;= � :32 -,
<br /> ConditionalUse $ ,l',1';',.:' z �,��
<br /> 100 -� f ($50) r �;�4
<br /> Variance ' .$75 ti _ :($50) 75'-00 =f -ham , , - ,� . �,� ,' �, t
<br /> Code 'A!Appeal .
<br /> pp $100 � �($5U) � � - r Park .Fund Dedication � � r
<br /> ..• Alteration ::Permit -..$150 --;:‘;‘-0,'',:q.($50) 'f ..w•,� .,.,•, ;Date Paid g :fl i >tr«. : ft , --,1:,,i.
<br /> P1 an :Review `' `
<br /> $100 ($50) _ Receipt Number
<br /> 4. � X
<br /> Other ($50) x
<br /> • n � .rr .s, � , •, �.
<br /> PLANNING SIGN $ 50i-:',.:,-'`Addt'l ''F s -Paid•�k "' tet: .
<br /> 1
<br /> 3 1 Z el :-*'-•i.-- y • Date Paldtt a i r , :
<br /> c)- ?~' ,• Receipt Number;" 'J�t
<br /> E�, }
<br /> ' 4z Y
<br />
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