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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> el APPLICANT: ANT-Hwy /--/OA/ 4410 Phone 76I-2-0,c‘ <br /> ADDRESS: 3Co1I Sj/N c3Ai 5 -VD . <br /> Street Address, City, State, and Zp Code <br /> Interest in Property�(check appropriate box): <br /> Owner of Property <br /> O 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 7i908 4gp4-� t/f. <br /> ote -30 -c:D a Lf -oaS4-(-- <br /> Legal Description or Property Identification Number <br /> Legal Owner: Name/Address417-14/4/0 HeAJ44Ail--) <br /> Present Use III (check"appropriate box): <br /> ,�� UndevelopedNacant <br /> ❑ Single Family Dwelling <br /> ❑ 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 0 Torrens <br /> REQUE T: /U c,,e_ :_. s- , 7 aAf <br /> i - -4 A. <br /> *Please note: Applicant may be responsible for additional fees associated wi e r iew of this re`q' est. <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. ��1�/� <br /> Signature') <br /> *#lfrtfF!#tYtXhiklwlfttt**w!**yrw4 tytM�FtItFtilrltt#*t is*tttt*t#�lrs*1*nt�Fikrt**qty* **lint <br /> Rezoning 5200/acre,minimum$200,maximum 51.000 Park Fund Dedication Fee <br /> Variance R-1 to R-2-$75,all others$200 Data Paid <br /> l Use Pam R-1to R-2.$75,all others$200 Receipt Number <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum$500 Total Fees Paid 4 ?_s• d 0 <br /> Minor Subdivision 6150 Date Paid &-. '- S—t5— <br /> Major Subdivision $250 plus$250 deposit Receipt Number �Li 9,7.. <br /> 0Comp. Plan Amendment $200 <br /> Wetland Alteration Permit $50 plus deposit determined by Stuff Additional Fee Paid <br /> Wetland Buffer Permit $10 Date Paid <br /> Planning Sign $50 Receipt Number <br /> PUD $350 <br /> PUO Amendment $150 Date of Mai action <br /> APPROVED ❑ DENIED ❑ TABLED 0 <br /> 4; <br /> Date c '/ - 96— Planning Case No. 4///- 'FS— Admin.Account No. 7) // . <br />