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CITY OF MOUNDS VIEW - <br /> . PLANNING APPLICATION <br /> APPLICANT: ?('t irY. � .--?::)Q. ‘ -,.. 1;k1^ s . -1-v\< ,. Phone S \_" 6 <br /> ADDRESS: I I Sy 6 SSS lie Iq co—S._ c1 -� 9,1 <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 /> 27 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 /> • <br /> PROPERTY INVOLVED: <br /> Address/General Location ...se---• cA t-�- tY <br /> Legal Description or Property Identification Number <br /> --- Legal Owner: Name/Address ,ee c......± .- -.!...L,.._- <br /> Present Use (check appropriate box): <br /> III Er' UndevelopedNacant <br /> ❑ 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 O Torrens . <br /> 1 � p <br /> REQUEST: ` , o c ►.J S'2 0 1 mt: -'— n •h � 1 ,\ Z 7_ <br /> - ``44,, f \ 9..c.i._ s ),t._-,C:Is'A t t t 3 l_ '' A.' -t--;J/ R-!1 "c''N r' r`., "*. i-7-- <br /> j h e-; u l'fit r,,t- q.r..t '- t).d, t!"4._ .4 <br /> *Please note: Applicant may be responsible for additional fees associated with the r ew of this request. <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. ,%_ F .- ';:,--.7;.-----:::>"._.::.--7:-.-:-----' <br /> Signature . <br /> Rezoning 5200/acre, minimum S200, maximum $1,000 Park Fund Dedication Fee <br /> Variance R-1 to R-2-S75, all others 5200 Date Paid <br /> Conditional Use Permit R-1 to R-2-$75. ail others 5200 Receipt Number <br /> Code Appeal S75 - <br /> c/:,/' <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum $500 Total Fees Paid -,f <br /> Minor Subdivision 5150 Date Paid s <br /> • <br /> Major Subdivision $250 plus $250 deposit Receipt Number V <br /> Comp. Plan Amendment $200 <br /> Wetland Alteration Permit $50 plus deposit determined by Staff Additional Fee Paid <br /> Wetland Suffer Permit S10 Date Paid <br /> Planning Sign $50 Receipt Number <br /> PUD . $350 <br /> PUD Amendment 5.150 Date of final action <br /> APPROVED ❑ DENIED 0 TABLED 0 <br /> /IA..t/A i/ cion r,� n <br />