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CITY OF MOUNDS VIEW <br /> J ` PLANNING APPLICATION <br /> APPLICANT: P10 S S 1 P-P.P 'N 47 0 n Phone 78'O- I aci 3 <br /> • ADDRESS: \ \ 9 l erPA-Ce bt'S . -no u_n6SL) LUi_ .1'YnA). S S I I c)-- <br /> Street Address, City, State, and Zip Code <br /> Interest in Property (check appropriate box): <br /> E 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 3.\l ci iE3 r/' A-C.C ib 00 n NS u ; e <br /> Legal Description or Property Identification Number <br /> Legal Owner: Name/Address Ross '- ,lee.,,.)prNe, ii e 1-4 Rl.lvr%A, 0 <br /> • <br /> Present Use (check appropriate box): <br /> ❑ UndevelopedNacant <br /> Single Family Dwelling <br /> III P Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units ) <br /> ❑ Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: 0 Abstract g Torrens <br /> REQUEST: 5/.57;_-_-- nrA.-c-AI <br /> • <br /> *Please note: Applicant may be responsible for additional fees associated wit the review of this request. <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE./ C2-"-7 G"�U <br /> Signa re <br /> ******************************************************************************************** <br /> Rezonin $200/acre,minimum$200.maximum $1,000 Park Fund Dedication Fee <br /> 'ante R-1 to R-2-$75,all others$200 Date Paid <br /> on anal 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 <br /> Minor Subdivision $150 Date Paid i tr_ " <br /> Major Subdivision $250 plus$250 deposit Receipt Number ....67 <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 0 TABLED 0 <br /> Date 1/'. 'A — ? Z-, Planning Case No. 3 SG - .1-2— Admin.Account No. n/4 <br />