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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> 1111 APPUCANT: ,Zw ?vcii Phone r7SS0- "Ib1-' <br /> ADDRES • 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 `7Z-5-7D -S,',ier 4 ,e. ...&/ <br /> Legal Descdpt onJor Property 1 entification Number 2-674 2 ,R/o, / <br /> --��--�� ,g�a//5 . <br /> Legal Owner: Name/Address .Lrry ,3e <br /> Present Use (check appropriate box): <br /> 110 „, UndevelopedNacant <br /> ❑ Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units ) <br /> ❑ Business/Commercial Establishment <br /> Cl Industrial Establishment <br /> • ❑ Other (explain) <br /> Property Classification: 0 Abstract Fl Torrens <br /> REQUEST: e1'• .Coot .Z,.1-, e Se-)Zdi'vj.c57-6.Q 4. <br /> *Please note: Applicant may be responsible for additional fees associated with the eview of this request <br /> i <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. „ ._ lb2_ J <br /> ig - ur, <br /> ********************************************************************* *** ****************** <br /> Rezoning 5200/acre,minimum$200,maximum $1,000 Paris Fund Dedication Fee <br /> Variance R-1 to R-2-$75,ail others$200 Date Paid <br /> Conditional Use Permit R-1 to R-2-$75,all otters$200 Receipt Number <br /> Code Appeal $75 <br /> Develop./Site Plan Review 5100/acre,minimum 100,maximum$500 Total Fees Paid /5—D• o 0 <br /> Subdivis3 $150 Date Paid ti-77 ”"J <br /> u.•Mviaion $250 plus$250 deposit Receipt Number 4' 7 y. 4) <br /> 0 Camp. Plan Amendment $200 f <br /> Wetland Alteration Permit $550 plus deposit determined by Staff Additional Fee Paid <br /> Wetland Buffer Permit $10 Date Paid <br /> Planning Sign $50 Receipt Number <br /> PUD 5350 <br /> PUD Amendment $150 Date of final action <br /> APPROVED 0 DENIED ❑ TABLED- 0 <br /> Date a - C2 - a Si Planning Case No. ?i.3 - � '5 Admin.Account No. r) / -cg <br />