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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: ).),9 14. VP fief-8vPhone 7g1-7/-4 6 <br /> • .. <br /> ADDRESS: ,-"3Com SO ri e-rx.h Rc 1/14 V' gni ,5.. // <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: ,S � L- , <br /> Address/General Location /r ; 4cca <br /> Legal Description or Property Identification Number 2_, -,--- / gL 9:.._ i <br /> 0/ 4,.?�-. 4 #x,22 c <br /> Legal Owner: Name/Address ` cic %- <br /> Present Use (check appropriate box): <br /> ❑ UndevelopedNacant <br /> [' Single Family Dwelling • <br /> 1111 0 Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units ) <br /> ❑ Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: Abstract ❑ Torrens <br /> R QUEST: 4. •140:?-. 42 <br /> fl✓- La..,:.1 k 2p u i 7�q�S ,. - r©�%(7 r (''�/ . <br /> *Please note: Applicant may be responsible for additional fees associated wi he revie of thi r uest <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE• . ee <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 Permit R-1 to R-2- ,,all others$200 Receipt Number <br /> Code Appeal $75 <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum$500 Total Fees Paid i, 5. O <br /> Minor Subdivision $150 Date Paid are: <br /> Major Subdivision $250 plus$250 deposit Receipt Number - gra <br /> Comp. Plan Amendment $200 <br /> Wetland Alteration Permit $50 plus deposit determined by Staff Additional Fee Paid <br /> • <br /> Wetland Buffer Permit $10 Date Paid <br /> Planning Sign $50 Receipt Number iliatigf <br /> PUD $350 <br /> PUD Amendment $150 Date of final action <br /> , r APPROVED 0 DENIED ❑ TABLED 0 <br /> Date 8-- 1-93 Planning Case No.2,4,--,3 Admin.Account No. . <br />