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CITY OF MOUNDS VIEW ' <br /> PLANNING APPLICATION <br /> APPLICANT: P/?37 Q EEVrE/ M SES Phone C:46- 790. <br /> ADDRESS: as 7 Ung//), ,iii , S% /140z-, ,n J_ ..5/14 <br /> Street Address, City, State, and Zip Code <br /> Interest in Property (check appropriate box): <br /> te` Owner of Property <br /> ❑ Contract for Deed Owner <br /> ❑ Lessee, Operator, Manager <br /> ❑ Agreement to Purchase <br /> ❑ Other (explain) <br /> Documentary evidence of applicant's interest in the property may be required before final City action of this request <br /> PROPERTY INVOLVED: <br /> Address/General Location 2.541 niNc3 d Jv0S t//E-A) z9)A/2E <br /> /tA/N/VE50 T14 FA.6R)CS <br /> Legal Description or Property Identification Number 07 - go ).-q -//-00o( <br /> Legal Owner: Name/Address <br /> Present Use (check appropriate box): <br /> ❑ UndevelopedNacant <br /> • ❑ Single Family Dwelling • <br /> ❑ DupleX/Two Family Dwelling <br /> ❑, Multi-Family (No. of Units ) <br /> t:( Business/Commercial Establishment <br /> Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: ❑ Abstract 0 Torrens <br /> REQUEST: 1A)E REQUEST- A VA-IVTb 77-hg.. <br /> s/ ) oRt2J/UAh)c4` TO ALLc ) oR <br /> A , 1JtRc /2 . J A) ' <br /> *Please note: Applicant may be responsible for additional fees associated with the review of this request. <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. S-6 <br /> Signature <br /> ********************************************************** ****************************** <br /> Rezoning $200/acre,minimum$200,maximum $1,000 ark Fund Dedication Fee <br /> Variance R-1 to R-2-$75,all others$200 Date Paid ? D2- <br /> Conditional Use Permit R-1 to R-2-$75,all others$200 Receipt Number <br /> Code Appeal $75 <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum $500 Total Fees Paid Ann•00 <br /> Minor Subdivision $150 Date Paid 0-.2 r- 9%,7. <br /> Major Subdivision $250 plus $250 deposit Receipt Number ,397 5— <br /> Comp. Plan Amendment $200 <br /> Wetland Alteration Permit $50 plus deposit determined by Staff Additional Fee PaidID <br /> Wetland Buffer Permit $10 Date Paid <br /> Planning Sign $50 Receipt Number <br /> PUD $350 <br /> PUD Amendment $150 Date of final action <br /> APPROVED 0 DENIED 0 TABLED 0 <br /> a <br /> Date / -.g 5----7.1-2 Planning Case No. �S/— gy Admin.Account No. 7,1.17T <br />