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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> Date 6-Z6-- <br /> APPLICANT: <br /> -Z6APPLICANT: Name A GLE1$vkL1711-4— C.Cj�i, - 7f4 Phone 4Z,J - (17 . <br /> Address '415U5' V-11-1b'M, Ste- f 4A W 4 C gag_i ) <br /> Interest in Property (Check Appropriate Blank) : MH SSIlp <br /> Owner of Record Lessee, Operator, Manager <br /> O <br /> for Deed Owner Agreement to Purchase <br /> Other (Expl ain) gyp .\A ,l .r. <br /> -1 r Tb 6.--z-7-R 1 <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 LrsT' ( 8th- \ 1C, L k-4cLL.S <br /> a1-I, sty--\lam. LZ " Mct..)Nc� \t I J MN <br /> Legal Owner: Name/Address V LE-i Ot1 ac.. <br /> 11 tJ€ Ni.e. �wId 6) tsLtNE. 1 Mt-4. ss931 <br /> Present Use (Check Appropriate Blank) <br /> Undeveloped/Vacant Apartment <br /> Si nyl e Family Dwell ing Business Esabl ishment <br /> Duplex Dwell my Industrial Establ ishment <br /> Multiple Dwell my (3-6 units) <br /> Other (expl ain) <br /> — <br /> Property Classification: Abstract Torrens <br /> REQUEST: (Explain) Tb Go Com' p, •IxL 014 A463 eLsql 3& L f <br /> c-0 Ekt-r't...1 *p i,--Z. r <br /> I hereby decl are that—the above statements—re true. <br /> (signature)_ _ <br /> FOR OFFICE USE ONLY: <br /> TOTAL BASE *(Base Fees are Non-Refundable) <br /> DEPOSIT FEES <br /> Subdivision , Major $250 ($150) TOTAL FEES PAID /0,, C0 <br /> Subdivision , Minor $100 ($75) Date paid (D_ aZoi -cn <br /> Rezoning $100 ($50) Receipt Number s 6,3Ci. <br /> Conditional Use $100 ($50) <br /> Variance $75 ($50) <br /> Code Appeal $100 ($50) Park Fund Dedication -- <br /> Alteration Permit $150 ($50) Date Paid <br /> Pl an Review $100 ($50) MO. o° Receipt Number <br /> Other ($50) <br /> PLANNING SIGN $ 50 Addt'l Fees Paid <br /> Date Paid <br /> Receipt Number <br />