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CITY OF MOUNDS VIEW <br /> = PLANNING APPLICATION <br /> APPLICANT: • Townsedge Terrace Vern Larsen Phone 786-6905 <br /> ADDRESS: 5001 Old Hwy. 8, Moundsview, Mn. 55112 <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 /> El 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 5001 Old Hwy. 8 , •Moundsview, Mn. 55112 <br /> Legal Description or Property Identification Number 17-30-23-12-0002-9 <br /> Legal Owner: Name/Address William Toberman/Barbara Toberman <br /> 9909 South Shore DR. Suite C. Plymouth, Mn. 55441 <br /> . I <br /> Present Use (check appropriate box): I SECTION 17 TOWN 30 RANGE 23 <br /> ❑ UndevelopedNacant <br /> • 0 Single Family Dwelling ? PT SE OF CREEK CL & S OF A <br /> 0 Duplex/Two Family Dwelling <br /> O 'Multi-Family (No. of Units ) i LINE BEG ON W LINE & 440 . 29 <br /> O Business/Commercial Establishment FT S OF NW COR TH S 80 DEG <br /> ❑ Industrial Establishment ; 35MIN E 53 . 81FT TH S 58 DEC <br /> ® Other (explain) Manufactured Hoz 39MIN 42SEC E 213FT TH N 82 <br /> Property Classification: Abstract 0 Torrens <br /> REQUEST: Varience for rear lot line setback-see attached letter <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 TRUE. (/_,,/),..41 <br /> Signature <br /> on' $200/acre,minimum $200,maximum $1,000 Park Fund Dedication Fee <br /> R-1 to R-2-$75,all others$200 Date Paid <br /> • •Tonal 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 ,,;1, - 00 <br /> Minor Subdivision $150 Date Paid ��++ <br /> Major Subdivision $250 plus $250 deposit Receipt Number '14'Q c y <br /> Comp. Plan Amendment $200 <br /> S 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 /> PUD Amendment $150 Date of final action <br /> � <br /> - '`CAAPPROVED ❑ DENIED ❑ TABLED 0 <br /> Date " .Z 3 -9 c` Planning Case No. 3 [� - 9 Admin.Account No. /i/I-- <br />