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• " <br /> CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION • <br /> Date 2-17---7/ <br /> APPLICANT: Name j�,4ttt I,SSCC/ T Phone — <br /> Address i'3 Ro 711 > y ST, <br /> Interest in Property (Check Appropriate Blank) : <br /> Owner of Record Lessee, Operator, Manager <br /> Contractor for Deed Owner - Agreement to Purchase <br /> X Other (Expl a i n) �ivt�i�rr����v�-r4�-C_0tir-/2-4c72 7`0 /�vs79LL <br /> Pa G L U 77c ' <br /> Documentary evidence of applicant' s interest in the property may be required <br /> before final City action on this request. <br />,ROPERTY : Address/General Location 290/ /f/ I te, y /Q <br /> o UwO.sv/E-tv <br /> Legal Owner:.. Name/Address / 2,f 2 Q/L <br /> "b C//2CG G L�D/� /h <br /> a.00C �.v � � S3-Y36 . <br /> Present. Use (Check Appropriate Bl ank) : <br /> Undevel oped/Vacant Apartment <br /> Singl e. Family Dwelling Business Esabl ishment <br /> Du lex Dwell 9 Industrial Establ ishment <br /> Mul tipie Dwell my (3-:6 'Units) <br /> Other (ex p1 a i n) 1.1,11-C,14("7— s <br /> Property Classification: Abstract Torrens <br /> EQU EST: (Ex pl a i n) ?Z7 `J2 en) UGC-' 5700- Ste"1' 0:3/5/Cie._-Fizz)tr ao7 c fire P2%'s-72T3' <br /> hereby declare that the above statements are true. a 4‘,6,47/711. <br /> (siyna <br />)R OFFICE USE ONLY: <br /> TOTAL BASE *(Base Fees are Non-Refundabl e) <br /> DEPOSIT FEES <br /> Subdivision, Major $250 ($150) TOTAL FEES PAID 4- 7,5, ' <br /> Subdivision, Minor $100 ($75) Date Paid " 7//9'/91 <br /> Rezoning = $100 ($50) Receipt. Number <br /> Conditional Use $100 , <br /> ($50). <br />—Variance '$75 ($50)50 � , c <br /> � �- <br /> Code Appeal .. ' , - <br /> $100 _ ($50);_ Park Fund-Dedication <br /> Alteration Permit $150 ($50) Date Paid • <br /> P1 an Review $100 ($50) Receipt. Number <br /> Other ($50) <br /> PLANNING SIGN $ 50 Addt'l Fees Paid _ <br /> Date Paid- <br /> Receipt Number <br />