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- CITY OF MOUNDS VIEW <br /> • PLANNING APPLICATION ( P'. n 0.-) <br /> Retail Foods of Minnesota A Division of <br /> APPLICANT: Gateway Foods. Inc. d/b/a Brooks' Food Market #31 Phone 935-2060 <br /> 40 ADDRESS: 5720 Smetana Drive, STE 300, Minnetonka, MN 55343 <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 2390 Hizhwav 10. Mounds View. Minnesota <br /> Legal Description or Property Identification Number CHO Investments <br /> 5720 Smetana Drive, STE 300, Minnetonka, MN 55343 <br /> Legal Owner: Name/Address Legal Description Attached <br /> Present Use (check appropriate box): 1 <br /> ❑ UndevelopedNacant ' <br /> ill ❑ Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units ) <br /> 1: Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: ® Abstract 0 Torrens <br /> REQUEST: Pry-PQ_kuri ceLa-ed CTL. ' wit V\ b l.kj\dJk.__h• <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 TRU , .. is <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 ens$200 Date Paid <br /> 4.Conditional Use Permit R-1 to R-2-$7 all others$200 Receipt Number <br /> Code Appeal $75 <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum$500 Total Fees Paid !a G• .S_• <br /> • <br /> Minor Subdivision $150 Date Paid - — Y• <br /> Major Subdivision $250 plus$250 deposit Receipt Number • <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 /> PUO Amendment $150 Date of final action <br /> APPROVED 0 DENIED 0 TABLED 0 <br /> Date 4-30"-q? Planning Case No.31Oa-9 Admin.Account No. <br />