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• CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: AiTO G �(L-f�L /�l/ . - 8.6) <br /> Phone 7 � 7/ <br /> ADDRESS: 2'375/C7 , , c 1nDthunS VVc u , /Yl /uu 5-.s7 <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: <br /> Address/General Location .fi175- A4 'y /a A-1 c <br /> Legal Description or Property Identification Number <br /> Legal Owner: Name/Address KKvihJ Ai L_U,vS <br /> Present Use (check appropriate boxy: <br /> ❑ Undeveloped/Vacant <br /> O 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 0 Torrens <br /> REQUEST: Li 8ENSF 1 Do • • C4,10 <br /> *Please note: Applicant may be responsible for additional fees associated w _ revi-w of this request. <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. if oJL <br /> Si. a /e <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-S75, all others $200 Receipt Number <br /> Code Appeal $75 `�— <br /> Develop./Site Plan Review 5100/acre. minimum 100,maximum $500 Total Fees Paid <br /> • $150 Date Paid <br /> Major Subdivision $250 plus $250 deposit Receipt Number <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 /> PUD Amendment $150 Date of final action <br /> // APPROVED ❑ DENIED ❑ TABLED 0 <br /> J✓ , _ a/.— n n / <br />