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. . <br /> CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION • <br /> , .,: Date 6 / __ <br /> • <br /> APPLICANT Name ky.) N <br /> . .... � Phone 764— 7S-0. ,. <br /> Address (30..j 6 COLA.1-cl o , ) . <br /> Interest in Property (Checks Appropriate Blank) : <br /> . <br /> _,___---- <br /> Owner <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 ,3030 — [ O0 -/-7 2c-/ J. . <br /> Legal Owner: Name/Address JO AcJ Z,.",,berry F <br /> Present Use (Check Appropriate Blank) : - <br /> Jdevel oped/Vacant . Apartment <br /> S/Si nyl e Family Dwell iny Business Esabl ishment • <br /> Duplex Dwell iny Industrial Establ ishment <br /> Multiple Dwell iny (3-6 units) <br /> Other (expl ain) <br /> Property Classification: Abstract Torrens <br /> ZEQUEST: (Expl ai ) ? access0r hid k) 14-& add S <br /> eresy sec are a e wove statements are true. <br /> V,,"C P!'"e) <br />'OR OFFICE USE ONLY: <br /> TOTAL BASE *(Base Fees are Non-Refundabl e) <br /> DEPOSIT FEES <br /> Subdivision , Major $250 ($150) TOTAL FEES PAID ?c•-- oz7 <br /> Subdivision , Minor $100 ($75) Date Paid ",,a)..c)p <br /> Rezoning $100 ($50) Receipt Number -?'",:zS-- <br /> Conditional Use $100 ($50) <br /> Variance7�. c-.,� <br /> $75 ($50) <br /> Code Appeal $100 ($50) Park Fund Dedication <br /> • <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 />