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CITY OF MOUNDS VIEW '� i.Goad/��
<br /> PLANNING APPLICATION 11 65
<br /> APPLICANT: K •u==�- ,Lil_.0-‘,3 Phone 7 -di 27/3
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<br /> ADDRESS: � czQ e- YhG,,hA.S \i't, k. - M >1 - '5-► 1 -7---
<br /> Street
<br /> Street Address, City, State, and Zip Code .
<br /> Interest in Property (check appropriate box):
<br /> Er Owner of Property
<br /> ❑ Contract for Deed Owner
<br /> ❑ Lessee, Operator, Manager
<br /> ❑ Agreement to Purchase • .
<br /> ❑ Other (explain)
<br /> Pl
<br /> Documentary evidence of applicant's interest in the property may be required before final City action of this request
<br /> PROPERTY INVOLVED: ' �, � �G (,
<br /> Address/General Location 5). c i . - I
<br /> RAl,-c--�,T.L U .:s -- — o g -,3 a -?-3 - a) - ci: Z'--/ $Jf4 ' 3
<br /> Legal Description or Property Identification Number L;,-�,tL_ ) 1,-7,-0 -
<br /> Legal Owner: Name/Address `. �,,-�_ ,,, - 7 5 c 6,,,,;�r,? ;;,�t-,;Q c\,'''.. -
<br /> VIA b '01 A C U - vtn ti - - 5 11 Z. J
<br /> Present Use (check appropriate box):
<br /> ❑ UndevelopedNacant
<br /> . Single Family Dwelling •
<br /> ❑ Duplex/Two Family Dwelling
<br /> ❑ Multi-Family (No. of Units )
<br /> ❑ Business/Commercial Establishment
<br /> ❑ Industrial Establishment
<br /> ❑ Other (explain)
<br /> Property Classification: . 0 Abstract ❑ Torrens
<br /> �t :- ....-_,\:,- --- -- --. -Krt..-v4_,...... ; �,6 - �..x -- ...2--,-,3):\v ..�+� G • , •
<br /> o �ti.-;-.I*i� :2mi1�i_' �.�,1�"�K.+i/� �1��1�t�i_�/ GW 4 ,IIMEM ' - ""a` ":":
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<br /> *Please note: Applidant` may be responsible for additional fees 4ssociated with the reviewof this reidug$t c �� ;D.
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<br /> L y -,2..-.1.z... ..:4.-...,,..c.2,-. .trO:.:.-Y1 &. : -e.� .Se-a-& 4 < j-r "1-,.< ?"--1-4—'7
<br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. ,. .c;., (i_to-,U d. fSignature t
<br /> Rezoning $200/acre,minimum $200,maximum $1,000 Park Fund Dedication Fee
<br /> Veri R-1 to R-2 5.all others$200 Data Paid
<br /> Conditional Use Per R-1 to R-2--$7 ,,all others$200 Receipt Number
<br /> LZA.pce Appeal $75
<br /> Develop./Site Plan Review $100/acre.minimum 100,maximum $500 Total Fees Paid
<br /> Minor Subdivision $150 Data Paid
<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 Q DENIED Q TABL=.7 0
<br /> Date //" ..Z0 — 95 Planning Case No. `''2I_— a�-- Admin.Account No. Iii/Tt
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