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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: l ^ 6,ra t J also() Phone 1 Vq -3 i I <br /> ADDRESS: $3-1( PLec-sa-nv, Nlau....0s c t,.f M,A) �i z <br /> • Street Address, City, State, and Zip Code <br /> Interest in Property (check appropriate box): <br /> Owner of Property <br /> 0 Contract for Deed Owner <br /> O 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 S D n tie j 1L-4Y'r &'r `)•C- -kl "` °`A°°"e c. P& s <br /> Legal Description or Property Identification Number <br /> Legal Owner: Name/Address-U,e c.laatre pc,pi - <br /> Present Use (check appropriate box): <br /> O UndevelopedNacant <br /> Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units ) <br /> • 0 Business/Commercial Establishment <br /> O Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: ❑ Abstract Torrens <br /> REQUEST: b )4- 31 P `I \C""2 LO( r i (24-t`, Sty c4-9c . <br /> I(o•Ca t4 4o ,vn c...a`,rv.t zv 40 0 s t ,64 )i(1/1.14.-, <br /> *please--note:--Appllcant_naylbe_responsible-for_additional fees associated with the review of this request <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. /11.,•941._e, Y.9c.ti. <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 /> conditional Use Perm 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 19 S- (3° • <br /> Minor Subdivision $150 Date Paid <br /> Major Subdivision $250 plus$250 deposit Receipt Number LPs Y—/ 3 <br /> Camp. Plan Amendment $200 <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 /> Date - /.2 - 9 3 Planning Case No. 6r / — 93 Admin.Account No. /14 <br />