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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: f1 i./ �h/0/)2-.eit-095:oA-6,-4 Phone 63,Z--9/71 <br /> • ADDRESS: /iivvy 6 ',l/ _)7;//'re /05 //. +J n.'lrT J AL/ cc//,,, <br /> Street Address, City, State, and Zip Code <br /> Interest in Property (check appropriate box): <br /> ❑ 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: l <br /> Address/General Location 7;293" ��'� ////e--6— % �c,/ <br /> Legal Description or Property Identification Number 1<'7 -3 0 3 `�a" �' a <br /> (��c� L �ti1.�.' t 3 ( �.i_1..1) f R-(32 V <br /> Legal Owner: Name/Address `, „,,/c/iavr, ✓ c_Ct-'S <br /> Present Use (check appropriate box): <br /> ❑ UndevelopedNacant <br /> • ❑ Single Family Dwelling <br /> 0 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: C 6f/ .i' -Af 5,QGe5S c'4 Jr°e St7/77V/7 —z <br /> 9l-fj/4q-P.G'449/7 <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 %�� <br /> Si. ' -ture <br /> ***************************************************************** ***** <br /> Rezoning $200/acre,minimum$200,maximum $1,000 Park Fund Dedication Fee <br /> VJanr� R-1 to R-2-$75,all others$200 Date Paid <br /> C Cond'" R-1 to R-2-$75,all l ) Receipt Number <br /> Code Appeal $75 <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum $500 Total Fees Paid 0 0 <br /> Minor Subdivision $150 Date Paid 7 -J/S <br /> Major Subdivision $250 plus$250 deposit Receipt Number SO ,)U <br /> Comp. Plan Amendment $200 <br /> • <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 /> PUO Amendment $150 Date of final action <br /> APPROVED ❑ DENIED 0 TABLED 0 <br /> Date • 7 - /)5 Planning Case No. �3- / Admin.Account No. /11- <br />