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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> . /APPLICANT: i 0i - k =,1 .,? r C Phone /' ' – .p//O <br /> • j lil cvADDRESS: / 1/z . ,, d -,/i,Z/ i,/ � ;o/),ez.Ce. ,/���+/E <br /> Street <br /> Address, City, State, and Zip Code a -F S' ) <br /> Interest in Property (check appropriate box): <br /> is Owner of Property <br /> ❑ Contract for Deed Owner <br /> ❑ Lessee, Operator, Manager <br /> ❑ Agreement to Purchase <br /> 0 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 „A ,./2 (1. 41 L/' <br /> • Legal Description or Property Identification Number CV- ;/1 --.% .J ",:)/ -- .�.��-,2 <br /> r <br /> Legal Owner: Name/Address :` ' . • � G d cv }- C <br /> c-/ G ,---/o 0 L iZ d 2/ A✓E /1G//f ua %i. c.i ?,:v-a/ LAS r/� <br /> Present Use (check appropriate box): <br /> ❑ UndevelopedNacant <br /> • <br /> • la • Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling <br /> 0 Multi-Family (No. of Units ) <br /> ❑ Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: ❑ Abstract Torrens <br /> REQUEST: /RR � �s , / >"'t G /..,--,0� 4. ,4. ,..).„<„,/v� y . � c - �_� � ( <br /> *Please note: Applicant may be responsible for additional fees associatedh e review of this request <br /> RUE. i <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE T % i <br /> Signature <br /> Rezoning $200/acre,minimum $200.maximum 51,000 Park Fund Dedication Fee <br /> Variance R-1 to R-2-$75,all others$200 Date Paid <br /> Conditional Use Perrrl> 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 75;00 <br /> Minor Subdivision $150 Date Paid rj—Zqj 1 <br /> Major Subdivision $250 plus$250 deposit Receipt Number ->r30 <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 /> PUO Amendment $150 Date of final action <br /> G� G/y z APPROVED 0 DENIED ❑ TABLED 0 <br /> Date / — " .J Planning Case No. jU"? -1_7, Admin.Account No. i'? /: <br />