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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> OCDS- .:,Ssr.) <br /> • APPLICANT: L-10,0EE CetL S 1s,1c.-., Phone 4 -(.1* I <br /> ADDRESS: -2.-1` vv , v iHiiacr_t_ q� S 1.4\„1SSM <br /> / <br /> Street Address, City, State, and Zip Code <br /> Interest in Property (check appropriate box): <br /> ❑ Owner of Property <br /> Cl 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 /> • <br /> PROPERTY INVOLVED: <br /> Address/General Location Ne\pv 1t.1f t,V 1i_ i C 1.i c Q L ' 991+1, C ..t-rc?_ <br /> \4\Y to 1 `Ot.PL., L_ 1;.y.51. ei) - <br /> Legal Description or Property Identification Nurnber <br /> Legal Owner: Name/Address Q i L, 6 - 2QQ, , <br /> `2:12-` 1 \itt.1\i u.` i`---•? iVi ii” ')---1, PSS_ n4\i,i <br /> Present Use (check appropriate box): <br /> 0 UndevelopedNacant <br /> • ❑ Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units ) <br /> 1. Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: 0 Abstract 0 Torrens . <br /> REQUEST: Qic UVi T D iTOLI P.L \Ti mc -Tr, c fix".-i---ici_ P <br /> SR c-NiuST2_ IY\f +?1' *-r. lNA.c.‘ ;t nS,\A tFt,'.i.1 .:.)P,.'i t (:]ii.L. Di-VEiTh <br /> 11111W>i i711.1WA' �t f >,.1 t <br /> `Please note: Applicant may be responsible for additional fees associated with th review of th's,r est <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. , L, , <br /> Signature <br /> Rezoning $200/acre.minimum$200,maximum $1,000 Park Fund Dedication Fee <br /> Variance . R-1 to R-2-$75, all others 00 Date Paid <br /> Conditional Use Permit R-1 to R-2-$75,all er 200 ', Receipt Number <br /> Code Appeal $75 <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum $500 Total Fees Paid ' r3J O <br /> Minor Subdivision $150 Date Paid 12 v 2 - 4 <br /> Major Subdivision $250 plus $250 deposit Receipt Number 41(,.73 c./ <br /> • Comp. Plan Amendment $200 <br /> ',/etland Alteration Permit $50 plus deposit determined by Staff Additional Fee Paid <br /> Wetland Buffer Permit • $10 Data Paid <br /> "arming Sign $50 Receipt Number <br /> ''CJD $350 <br /> PUD Amendment $150 Date of final action <br /> APPROVED 0 DENIED 0 f TABLED 0 <br /> Date 1a - / 3 - r1 cf Planning Case No. 7 5 ` `?fAdmin.Account No. 1) //tel' <br />