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, <br /> CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION W — CP — 6°'3 0" <br /> APPLICANT: Ta tin e± 61 ild 0Jc Fen` 0/i Phone 7 Vt, -/2(D <br /> • ADDRESS: )Q 1 4 I lila° I 0 rvt.. , 1 an 12 -, IIT u- ,1 , J-/ l� <br /> Street Address, City, State, and Zip Code <br /> Interest in Property (check appropriate box): <br /> ❑---- 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: n n <br /> Address/General Location 7/OO �✓1O/(Wdd4 prig-- )%C'/S6 i�eC'i <br /> Legal Description or Property Identification Number LY 7— 0 - Q7 -- I---OCJ4'') -0 <br /> k=4,.„,cwaQa p.,,.. - y) . as' st E /70' / _1,9-1- I' 4- • • el-- }' /70151A 1612'• 70 <br /> Legal Owner: Name/Address 'SGT/YleS n Gt ncl •e.1 ra S f' -e,i6on <br /> Present Use (check appropriate box): <br /> ❑ UndevelopedNacant <br /> • ❑ <br /> Single Family Dwelling <br /> Duplex Two Family Dwelling • <br /> O Multi-Family (No. of Units ) <br /> ❑ Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> Q Other (explain) <br /> Property Classification: 0 Abstract Q/orrens <br /> REQUEST: T hu/ /41) G Acl. ,Y 60 S:h)rot .Q h. ; 1 d irg 40 �q <br /> It, - I • + t PI r # . -. I efJc - <br /> ?i 4 'eCarl`-E-e, ran , 57a, ” ' <br /> *Please note: Applicant may be responsible for additional fees associated v 'the revi is request. <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE.-- . , 7 7 <br /> Z p) <br /> Signature <br /> ********************************************************** ******************************** <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 /> a/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 95 <br /> Minor Subdivision $150 Date Paid .- ---13 `i.3 <br /> Major Subdivision $250 plus$250 deposit Receipt Number 4/0 9 <br /> Comp. Plan Amendment $200 <br /> III <br /> Wetland Alteration Permit $50 plus deposit determined by Staff Additional Fee Paid <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 /> / <br /> Date 3 ( 3/9 3 Planning Case No. 3 to 4 - 4-3 Admin.Account No. "./A <br />