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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> Date l- aa -9a • <br /> APPLICANT: NameMARV V. Nlco ( Phone me_ )(o- 3 05 <br /> Address -� - <br /> Interest in Property (Check Appropriate Blank) : <br /> X Owner of Record . • Lessee, Operator, Manager <br /> Contractor for Deed Owner - Agreement to Purchase <br /> Other (Expl ain) <br /> Documentary evidence of appl icant' s interest in the property may be required <br /> before final City action on this request. <br /> PROPERTY: Address/General Location (Df £r npK --irc <br /> Legal Owner: Name/Address -1-\-ftR•-/ o/ ( pKy 1\11ZGaCl4-! <br /> g.ZCc / j?F. (`)fit K_ .2 <br /> Present Use (Check Appropriate Blank) : <br /> Undevel oped/Vacant Apartment <br /> X Sinyl e Family Dwell ing Business Esabl ishment <br /> • <br /> Duplex Dwell my Industrial Establ ishment <br /> Multiple Dwelling (3-6 units) <br /> Other (expl ain) <br /> Property Classification: Abstract Torrens <br />;EQUEST: (Expl ain) CO D ;, cAi- LJS ER , •r-- - i NWS s5i .6 iAL <br /> --ee/Qo•.s F L -4/ '- T <br /> - • - - s are rue. czta_------"( i . <br /> (sign-tu 41 r <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 4./Coco <br /> Subdivision , Minor $100 ($75) Date Paid / -aa-9a <br /> Rezoniny $100 ($50) Receipt Number 37 3-0 V <br /> Conditional Use $100 ($50) X00 - o c <br /> Variance $75 ($50) <br /> Code Appeal $100 ($50) Par and Des • ation \ = <br /> Al teration Permit $150 ($50) Dat- Pa. ' ' /AWM- X41f/e,; <br /> Plan Review $100 ($50) Receipt Num.-r 7 . -07 - <br /> Other ($50) <br /> PLANNING SIGN $ 50 Addt'l Fees Paid <br /> • Date Paid_ <br /> 338 - ?.Z- Receipt Number <br />