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CIT:.' OF MOUNDS VIEW .-. <br /> • <br /> PL.'Y i;C— 4.1:;'PLIC,-ITIC:? <br /> nex Industries f�y... Phone 784-4040 <br /> APPUCANTy <br /> III ADDRESS: . <br /> 4751 Mustang eiNSISs.. C.YC(e_ Ill UNOS V('e-w wt J SS(( 2— <br /> Street Address, City, State, and Zip Code <br /> Interest in Property (check appropriate box): <br /> j Owner of Property <br /> ❑ Contract for Deed Owner <br /> ❑ Lessee, Operator, Manager <br /> ❑ Agreement to Purchase <br /> ❑ Other (explain) 1 <br /> Documentary evidence of applicant's interest in the property may be required before final Clty action of this request. <br /> PROPERTY INVOLVED: <br /> Address/General Location 147C( N,t u STAB Cv ct`-cLL 04,htJ 0 S V i-eiwi v41.N Ss-r/ L <br /> Legal Description or Property Identification Number Pi N (7 30 2-3 13 000 to <br /> Lot 1 , Block 1 ,Moundsview 'Industrial Park No . 2 rfusw„-Q,-.c <br /> Legal Owner: Name/Address <br /> bita.,c TNDU.ST'itS c, 4-757 Mus-r G ctrl- /l{auNJS 1l,i; 'i MN s7I12.— <br /> Present Use (check appropriate box): <br /> 0 UndevelopedNacant <br /> III 0 0 <br /> Single Family Dwelling <br /> Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units ) <br /> ❑ Business/Commercial Establishment <br /> Li Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: ❑ Abstract 0 Torrens <br /> REQUEST: Site Plan REview . <br /> *Please note: Applicant may be responsible for additional fees associated with e review t is request. <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. 1"--(-- / 1Ct.-( <br /> 13tL(ii-iv G• c� I ignature / . <br /> ****x**x**:***:t*******x***x****x*****************z:*x******xx **x**************************x <br /> Rezoning 5200/acre,minimum $200, maximum $1.000 Park Fund Dedication Fee <br /> Variance R-1 to R-2-575,all others S200 Oate Paid <br /> Conditional Use Permit R-1 to R-2-$75,all others.$200 Receipt Number <br /> 4/ Code $10 <br /> e-Ceveiop./ an Review 5100/acre,minimum 100,maximum 550 Total Fees Paid )2% S00 '00 <br /> Mina ubdivision 5150 Oate Paid <br /> for Subdivision $250 plus S250 deposit Receipt Number <br /> Comp. Plan Amendment $200 4/7393 <br /> III Wetland Alteration Permit $50 plus deposit determined by Staff Additional Fee Paid <br /> Wetland Buffer Permit $10 Date Paid <br /> Planning Sign $S5010 Receipt Number <br /> PUD S350 <br /> PU a en•men 150 Date of final action <br /> APPRCVED ❑ DENIED ❑�7 TABLED ❑ <br /> Date 1-1-1-717c1-1-1-717c Planning Case No. q07- 9S !Admin.Account No. a I/N <br />