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PLANNING APPLICATION <br /> APPLICANT: f ,•//&..-/r 4.4. �,,e ,� i.:e,,.L< Phone "7 -OS-77 <br /> ADDRESS: 7.5/.07‘, 6(eVe a j =C/. /9i.4./1i g`J. i i/7 1.5`//.Z. <br /> • Street Address, City, State, and Zip Code <br /> Interest in Property (check appropriate box): <br /> CrOwner 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 454/2 6 �lin„eJGn 1 ,'d, <br /> Legal Description or Property Identification Number cQ -3c,- -3 - o-)-Go c/T7 <br /> Legal Owner: Name/Addre �r.lirtrrif 4-t4 i,,� s f ve,- , <br /> 5ya l; rte' 'r/ I,&! <br /> Present Use (check appropriate box): <br /> ❑ UndevelopedNacant <br /> g" Single Family Dwelling <br /> 0 Duplex/Two Family Dwelling <br /> . ❑ Multi-Family (No. of Units ) <br /> 0 Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> . Property Classification: ( '• Abstract 0 Torrens <br /> REQUEST: x 20-s,`0/,ox/a/ Xnnel ,/ieeef <br /> _ .__ • <br /> __- ,- --- • - - a.. • : ees associated with the r iew,of thi r <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. /g--‘4,17 <br /> ture <br /> **************�tyryr*****sryryr*****************e *********� *main **ye****S** *tu <br /> sMrrnr******tr*****Intitrirar* <br /> Rezoning $200/acre,minimum$200,maximum $1,000 Park Fund Dedication Fee <br /> VR-1 to R-2-$75,all others$200 Date Paid <br /> ond <br /> Citional Use emit R-1 to R-2 Se;all others$200 Receipt Number <br /> e $75 <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum $500 Total Fees Paid D D <br /> Minor Subdivision $150 Date Paid 2INLIN <br /> Major Subdivision $250 plus$250 deposit Receipt Number <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 0 DENIED ❑ TABLED ❑ <br /> Date 9 — Ja ^ -/ -6 Planning Case No. 9.3_3 --f 5 Admin.Account No. <br />