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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> • APPLICANT: V -r'n oY\ OicrYl <0 7Phone —NI -20-31-1' <br /> ADDRESS: 3L2 1 51"'1 t1.50 ES L-V 6 <br /> Street Address, City, State, and Zip Code <br /> Interest in Property (check appropriate box): <br /> p-' 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 2-9 0 gAT Am A <br /> 0(a- a Lf - s�f <br /> Legal Description or Property Identification Number <br /> Legal Owner: Name/Address AiA\1?(No vvl }-1011]<0 vrl. -d Ma.,rc O I ZovY'D <br /> Present Use (check appropriate box): <br /> [tom 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: ❑ Abstract ❑ Torrens <br /> REQUEST: i hG�o. .Q, s • cm o(3rt. 1)\c\„\A ' . <br /> y <br /> *Please note: Applicant may be responsible for additional fees associated with re revi w o this request. <br /> J� <br /> , <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. / i /'/014 <br /> Signature 11 <br /> Rezoning $200/acre,minimum$200,maximum $1,000 Park Fund Dedication Fee <br /> Variance R-1 to R-2-$75,all others$200 Date Paid <br /> C-onditional R-1 to R-2-$75,all others$200 Receipt Number <br /> Code Appeal $75 <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum$500 Total Fees Paid I i C <br /> Minor Subdivision $150 Date 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 ❑ DENIED 0 TABLED ❑ <br /> Date i � /� S Planning Case No. S-g- 95 Admin.Account No. r1 / <br />