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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: Pc g e - /-3 I,d eSr PA a 1 Phone 794 -o/g/ <br /> IP ADDRESS: F a 3 a & I-r-e ti (.i a o c uP <br /> Street Address, City, State, and Zip Code <br /> Interest in Property (check appropriate box): <br /> [ I---- 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 3.1 G i r t•h trJ cies rl Di- /3 a e./t a r A <br /> ,7. c /4`9,-‘ <br /> � <br /> Legal Description or Property Identification Number p 1 5-3-7 - 7omon n- 0 3o v/ SS <br /> 5eaGc., h Sk /S ser 3 gior/r 1 <br /> Legal Owner: Name/Address Rai r F a Ail r5 %PA a / <br /> Present Use (check appropriate box): <br /> ❑ UndevelopedNacant <br /> 0 Single Family Dwelling <br /> III ❑ Duplex/Two Family Dwelling <br /> El Duplex/Two <br /> (No. of Units ) <br /> ❑ Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: 0 Abstract 0 Torrens <br /> REQUEST: T O A I. ( L. 1 S 7-0 ., 0"�i C S' i,. c d <br /> tT 1 <br /> *Please note: Applicant may be responsible for additional fees associated w' the review of this request <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. t <br /> ignature <br /> Rezoning $200/acre,minimum$200.maximum $1,000 Park Fund Dedication Fee <br /> Variance R-1 to R-2-$75,all others$200 Date Paid <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 9 5.0 0 <br /> Minor Subdivision $150 Date Paid 0-Ag-q <br /> Major Subdivision $250 plus$250 deposit Receipt Number .3 9'I'74-1- <br /> Comp. Plan Amendment $200 <br /> Wetland Alteration Permit $50 plus deposit determined by Staff Additional Fee Paid <br /> 110 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 /> Date q- .2- 8-'7.? Planning Case No. 353— q� Admin.Account No. ''L144 <br />