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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: Re s o F /° Rc/,erf te/,4 siw Phone 7F6- S‘S 9 <br /> • ADDRESS: `/ 0° Co Rd / /y& 'ivS Ul E AVA//,4 ' S S'/ / 2 <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: <br /> Address/General Location /f',,he rD'4 o f i /o <br /> Legal Description or Property Identification Number <br /> Legal Owner: Name/Address Robe n-t 11 ulAsr6 <br /> Present Use (check appropriate box): <br /> ❑ UndevelopedNacant <br /> ❑ Single Family Dwelling ' <br /> ❑ Duplex/Two Family Dwelling <br /> ❑ Multi-Family(No. of Units ) <br /> 15a Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> • <br /> Property Classification: ❑ Abstract Torrens <br /> REQUEST: 'VA R fahee P h R K I Ny r•-t- Pc beer-6 OP /4 <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. £h `/'�l/iz�✓�'v` <br /> Signature <br /> ******************************************************************************************** <br /> Rezoning $200/acre,minimum$200, ....;num$1,000 Park Fund Dedication Fee <br /> Variance R-1 to R-2-$75,all oth. $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 SOO •OC <br /> Minor Subdivision -. _ $150 Date Paid S—,—Cl <br /> Major Subdivision $250 plus$250 deposit Receipt Number 1+)(.0RQ <br /> Comp. 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 /> .2 APPROVED 0 DENIED 0 TABLED 0 <br /> Date c//G/ V 3 Planning Case No. 31103-'RAJ Admin.Account No. <br />