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CITY OF MOUNDS VIEW
<br /> PLANNING APPLICATION
<br /> APPLICANT: Q o u c_/4-.s -7-, pr•uiv)c H Phone 7 4 -'D‘..5:3
<br /> • ADDRESS: 81 75- ,5P1 4//4/6• L,IL etZ,,10
<br /> Street Address, City, State, and Zip Code
<br /> Interest in Property (check appropriate box):
<br /> 1 -" 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'/ 7 5 -sy,,4„�6, L,;... X cC •
<br /> S--'
<br /> Legal Description or Property Identification Number e.li -,; o -�,, - a zi- o, 5 Z,
<br /> (h,..ud •.6 ,.e . YLo •ff 9 , 6 )/ 5' /-,- y) aA o' A --1. -- -- ,_
<br /> Legal Owner: Name/Address
<br /> Present Use (check appropriate box):
<br /> ❑ UndevelopedNacant
<br /> •
<br /> •
<br /> •
<br /> ,Q 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 /> Property Classification: ❑ Abstract ❑ Torrens
<br /> REQUEST: �e4 /,././..e ie. ,, , l i2 i.•,7 - ..., ,i-,-7_,— / - -
<br /> +�..C.•- ...P/_k'ice)-1.�,:.` I'.l.d.-
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<br /> *Please note: Applicant may be responsible for additional fees associatedIndus
<br /> e eview of .-.uest.
<br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. //�j'`'e��
<br /> .�`�
<br /> vSi�ur- /
<br /> *******....�m.,,,,xx ...**xx***xxx .*xxxx*.**. ******xzx�xxx....,. x*******x ..*********
<br /> Rezoning 5200/acre, minimum S200,maximum 51,000 Park Fund Dedication Fee
<br /> Variance R-1 to R-2-S75,ail others $200 Date Paid
<br /> Conditional Use Permit R-1 to R-2-575,all others$200 Receipt Number
<br /> Code Appeal 575 _ a�
<br /> Develop./Site Plan Review 5100/acre,minimum 100,maximum $500 Total Fees Paid 7 5 Q
<br /> Minor Subdivision $150 Date Paid /d--Z; —9 j
<br /> 'Major-Subdivision .. 5250 plus 5250.deposit Receipt Number 'f'7-7 ?
<br /> Comp. Plan Amendent - S200
<br /> Wetland Alteration Permit 550 plus deposit determined by Staff Additional Fee Paid
<br /> • Wetland Suffer Permit $10 Date Paid
<br /> Planning Sign $50 Receipt Number
<br /> PUO 5350
<br /> PUD Amendment 5150 Date cf final action
<br /> APPROVED rJ DENIED ❑ TABLED
<br /> Date /Z,f - 3 Planning Case No. 37 / - 9 3 Admin.Account No.
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