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CITY OF MOUNDS-VIEW <br /> PLANNING APPLICATION <br /> DateaAJ o_o2,:/4/66 <br /> APPLICANT: Name fpm �DIuAfL{D5 6w)4,07I —00a0 Phone06783- 8-7 Ai <br /> Address 3i5 .. LEASArjT (EW fVE <br /> Interest' Property (Check Appropriate Blank) :Owner of Record <br /> 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 8315 ?LEA' Iii VIEW - (RIVE • <br /> LOT 4- l3cloc,JC i -R.ECGAI Vsew ESTATES <br /> Legal Owner: Name/Address AeouE <br /> Present Use (Check Appropriate Blank) : <br /> Undevel oped/Vacant Apartment <br /> !/Sinyl e Family Dwell iny Business Esabl ishment <br /> Dup.( ex Dwell iny Industrial Establ ishment El <br /> Multiple Dwell iny (3-6 units) <br /> Other (expl ain) <br /> 3 <br /> Property Cl assification: Abstract (Torren <br /> REQUEST: (Explain) /12 ON �Tib2AG.€ 6;AR4C.E giwz / If <br /> TO EX/57?n/G— AZ ' ae. 0 versi` ed i a YQge, <br /> Piz Suave s /lit N Dic.wwC s �J <br /> hereby declare that the above statements are true. (\ li1 <br /> signature <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 ( p_'.�Q i <br /> Subdivision , Minor $100 ($75) Date Paid i—r.. -fas! <br /> Rezoniny $100 ($50) Receipt Number ;5_1 ;� , Y, <br /> Conditional Use $100 ($50) 46/00,00 -- <br /> Variance $75 ($5t) <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 /> 3Y° " 4a <br /> 21? <br />