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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> ' S- 535' <br /> • APPLICANT: L.11,10E'S CsVQc, Phone 44B - Col 1 ) <br /> ADDRESS: Z,-l� e, i5(... Q V- c'Pl Nikki Sal 1� <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 /> EK <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 NAO )►.tM\l 1&'t.SO 2 ►�Z, % QP) C r1i <br /> A-N.N to tLc - , U (-D. <br /> Legal Description or Property Identification Number <br /> Legal Owner: Name/Address PM-1L �1.►• i�i,�.QQ�S`t,` <br /> 172.21:1 ULINifliSrry 14� : ST, QAC , N K1 <br /> Present Use (check appropriate box): <br /> O UndevelopedNacant <br /> ❑ Single Family Dwelling <br /> 0 Duplex/Two Family Dwelling <br /> O Multi-Family (No. of Units <br /> ❑ Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: 0 Abstract 0 Torrens <br /> REQUEST: etkern DUAL-- LnLL PatA t-r— cO G9r ATL 4 VNEL. <br /> 17.5- ()LAO� ciurtvmscAc J LEL-1-V- F <br /> *Please note: Applicant may be responsible for additional fees'associated with th review of is est. <br /> 1 <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. <br /> Signature <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 /> Conditional Use Permit R-1 to R-2-$7 II others$2 ' Receipt Number <br /> Code Appeal $75 <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum $500 Total Fees Paid , d d <br /> Minor Subdivision $150 Date Paid - / G 95 <br /> Major Subdivision $250 plus $250 deposit Receipt Number "70 i <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 0 <br /> Date / I/ 9/3 5 Planning Case No. 7 3 q 5 Admin.Account No. <br />