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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> ` GS--.:,SSr, <br /> • APPLICANT: L-10.0 GQsv4.1 x v'S lr.1c., Phone 4 .c.1%-1 <br /> ADDRESS: 21S w , \kik-WIZISXIC.- 4r.._ S c ',Ad -":.';t H <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 Not 'rji j ji.\at c::,C.A.0 C4.-ii 7,,i941 d c, C a, -q_ <br /> \4\I 1 ltl 1 ..01.1.(_, LAYS., ei) - <br /> Legal Description or Property Identification Number <br /> Legal Owner: Name/Address Q 5 kaQq e., <br /> `2221 \itt.1\42` �'ice/ N\l Q �,.� Qom_ t <br /> Present Use (check appropriate box): <br /> ❑ UndevelopedNacant <br /> II ❑ . Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units ) <br /> la Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: 0 Abstract 0 Torrens . <br /> REQUEST: a.c t.) { o_c i.n i-n01,11).L vriT_ K.2.M fit: C A <br /> R c' A.EST2_ MAS' {\T- Nit i_) £n l\I t Fc.\J,1 St�QA a , JE L. -rP 4 <br /> *Please note: Applicant may be responsible for additional fees associated with thy. review of th's'\r est <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. , 1„ ,� . <br /> Signature <br /> ******************************************************************************************** <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 er 200 Receipt Number <br /> Code Appeal $75 <br /> Develop./Site Plan Review $100/acre.minimum 100,maximum $500 Total Fees Paid (9,0 O• � <br /> Minor Subdivision $150 Date Paid k1.2. .,a - <br /> Major Subdivision $250 plus $250 deposit Receipt Number tN..Z3 4--4 <br /> Comp. Plan Amendment $200 <br /> 0 '.istland Alteration Permit $50 plus deposit determined by Staff Additional Fee Paid <br /> Y.etland Buffer Permit • $10 Date Paid <br /> "anning Sign $50 Receipt Number <br /> :'lJD $350 <br /> FUD Amendment $150 Date of final action <br /> �APPROVED 0 DENIED 0 TABLED 0 <br /> Date 1a - / 3 - 1 4 Planning Case No. I 4.,_-3 J " 6/ `i/ Admin.Account No. 11 )14 <br />