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CITT OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> al APPLICANT: A.a,coy eqC Phan® 'O-5 6.08 <br /> ADDRESS: ( 5 I D r o� <br /> Street Address, City, State, and Zip Code <br /> Interest in Property (check appropriate box): <br /> g Owner of Property <br /> Contract for Deed Owner <br /> 0 Lessee, Operator, Manager <br /> ❑ Agreement to Purchase • <br /> ❑ Other (explain) <br /> Documentary evidence of applicant's interest In <br /> �property�Y be required before find City action of this request. <br /> PROPERTY INVOLVED: <br /> Address/General Location N1 3 o S K>vo U moo ciI�R;v e__ <br /> oma - 3o �a-3 — ay - 0c53 .- <br /> Legal Description or Prroperty identification Number <br /> _)e ISS .` o 2.6 LdJ <br /> 5 I// <br /> - /� a s . Lw,L ri— - „J,o/�. <br /> Legal Owner: Name/Address La r r y <br /> 13eac� <br /> Present Use (check appropriate box): <br /> UndevelopedNacant <br /> •• ❑ Single Family Dwelling <br /> ❑ <br /> Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units ) <br /> ❑ Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> • ❑ Other (explain) • <br /> Property Classification: 7 Abstract 0 Torrens <br /> REQUEST: A r7 �e� <�ez� � � r/'4 cd/o <br /> G 4" —5-e4 rc`i 40 he eo,v S/7' c7le <br /> 41 5 eFfa,., A.Dd ec 4 1S/" 7d-h e ,2 ,'-', „r• <br /> *Please note: Applicant may be responsible for additional fees associated with the review of this request <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE �, ih. <br /> Signa e <br /> �•-_ $200/acre,minimum$200.maximum$1,000 Paris Fund Dedication Fee <br /> R-1 to R-2-$75,all others$200 Date Paid <br /> •'=:rbonal Use Permit R-1 to R-2-$75,all others$200 Receipt Number <br /> Code Appeal $75 <br /> Develop./Site Pian Review $100/acre,minimum 100,maximum$500 Tota/Feels Paid . ' <br /> Minor Subdivision $150 Date Paid <br /> Major Subdivision • $250 plus$250 deposit Receipt Number <br /> Comp. Plan Amendment $200 <br /> 41) Wetland Alteration Permit $50 plus deposit determined by Staff Additional Fee Paid <br /> Wetland Buffer Permit $10 Date Paid <br /> Panning Sign $50 Receipt Number <br /> PUD X50 <br /> PUD Amendment $150 Data of 5nal action <br /> �y APPROVED ❑ DENIED CI TABLED <br /> - ❑ <br /> Date 6 '(i ^ 7 s Planning Case No. 4//- '� <br /> Admin.Account No. N '+1• <br />