Laserfiche WebLink
CITY OF MOUNDS VIEW <br /> ?LANN NG APP CATION <br /> 0 <br /> APPLICANT: NkN,.\ i"f\ri:NN. , <br /> Phone-780'0"/ b <br /> ADDRESS: (Sl S CQ�L Jf. i(1CL'tc-vlec 21 :4\1\) , c ) J( <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: n <br /> Address/General Location �L c Ca.` _ .bJ'1�t'__ ,erne_ C`S k\ - ve___ <br /> Legal Description or Property Identification Number Cro 3C-(W - LI-001 - <br /> Legal Owner: Name/Address 1Y1P_ _c.) \i' O•ktP _ _ <br /> • <br /> Present Use (check appropriate box): -'`'� <br /> i ElUndevelopedNacant � �; 7-) 5,,,i. Single Family Dwelling /`� G <br /> ❑ Duplex/Two Family Dwelling - . 5 G <br /> ' / o LZ <br /> ❑ Multi-Family (No. of Units ) rb 03 Q� V <br /> ❑ Business/Commercial Establishment (' �' ' <br /> CIIndustrial Establishment 2 <br /> ❑ Other (explain) !r --3o <br /> Property Classification: ❑ Abstract ❑ Torrens a3 <br /> RQUEST: 66. . tea ►" t bk li, 1 1a xi <br /> Cl' S\-I^CcrP (' t ,)-N"- \\P.�C^,c i'cn k.. _ C 41' 1.C. l - t C'C.I i e_ <br /> -El . , . 'kid��S '-ir c� 5 \1 Ph\ c(4 �Cj..1) k'` S,)P/11\(1p,\ 1 J1 A- it—' <br /> .-\-- *\E \V\ 4 \Ph6' t''c) e, <br /> *Please note: Applicant may be responsible for additional fees assocated rev' w of tn. request. <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. t l-- <br /> ignature <br /> ****x*********x*********************************,*************** ****x******************x*** <br /> Rezoning 5200/acre,minimum$200.maximum $1,000 Park Fund Dedication Fee <br /> VarianceR-1 to R-2-$75, all others$200 Date Paid <br /> anal Use a Permit R-1 to R-2-$75.all others$200 Receipt Number <br /> Code 1p ea! _ $75 0 0 <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum $500 Total Fees Paid 7S <br /> Minor Subdivision $150 Date Paid j.Y/.4't <br /> Major Subdivision $250 plus $250 deposit Receipt Number i-1'(C. ,7 <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 ❑ TABLED 0 <br /> /�4 i <br /> Date %, / A L Planning Case No. J. - 9 Admin.Account No. <br /> i <br />