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.Y <br /> CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> • APPUCANT: ocz z. NA k Lsae_, Phone ' e to -ScRE <br /> ADDRESS: 25-O to-1- (�ot� <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 Sc .4 Qc D _� Q.c4-C <br /> Legal Description or Property Identification Number 1.,o-t-s \Lit - , te t <br /> L dT 1.7 A -LL L>•k_ \ Z Ae:c.S PLA-7- <br /> Legal Owner: Name/Address <br /> Present Use (check appropriate box): <br /> • ❑ 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 ( Torrens <br /> REQUEST: \i Lr t.Ce- �c� ��D� 14tLC . '_,-?- �i t�� -5;mac <br /> YZir rvl F52crtr- �ccs �' ,.�� •" -�O �. — �_.z , mr <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.. <br /> Si•©:ture <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-$75,all others$200 Receipt Number <br /> Code Appeal $75 <br /> Develop./Site Plan Review $100/acre,minimum 100, maximum $500 Total Fees Paid 0;25---17?) <br /> Minor Subdivision $150 Date Paid 7-/-9q <br /> Major Subdivision $250 plus $250 deposit Receipt Number <br /> • Camp. 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 u TABLED ❑ <br /> Date �?– - Planning Case No. 3 9 3 - 9 Admin. Account No. r1 4 <br />