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• <br /> CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION LV. 79-574728 <br /> APPLICANT: / n I _> cNr.1) v T Phone C l y 78 6 -.s 6 8 <br /> • <br /> ADDRESS: 81/ VA-4,4 ri (/w. /14,r _cc// z_ <br /> StreetAddress, 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 Z 8 0( /4/ C r-)4.49y /0 /1/ 1/#9<./ <br /> L•4Nb os War A•E oA= t�!1STING ,4p ofo .�TATio/✓ <br /> Lega Description or Property Identification Number ! /r 1 Loc/ AAlccc <br /> EA- DDo Jo 23 3 0003 . <br /> Legal Owner: Name/Address Ar,Noco O/ o P"pi9,,iy, <br /> Zoo L4Sr +2f1NDoLPN 1`^c- iticee .4.4o 171...)14013 .S-S4/177 <br /> Present Use (check appropriate box): <br /> I ' UndevelopedNacant <br /> • 0 Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units ) <br /> ❑ Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> • <br /> Property Classification: ❑ Abstract [a' Torrens <br /> REQUEST: <br /> • <br /> • *Please note: Applicant may be responsible for additional fees associated with the review of this requ t. <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. • " <br /> Signature <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 2d0.4O • <br /> Minor Subdivision $150 Date Paid (o-`z/--`71 <br /> Major Subdivision $250 plus$250 deposit Receipt Number of/q/q <br /> Comp. Plan Amendment $200 <br /> 41) 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 /> PUO $350 <br /> PUD Amendment $150 Date of final action <br /> APPROVED ❑ DENIED 0 TABLED 0 <br /> Date 6- 7 3 Planning Case No. Admin.Account No. <br />