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CITY OF MOUNDS VIEW . <br /> PLANNIINNG APPLICATION <br /> APPLICANT: 0/16ici(.44,41 ; Z.--(//1/-,, r/o, C/-/,,r hi/-5:- Phone 711 A Y <br /> ADDRESS: 770/ ,&a`9 0f1'K 12/. �I: "&,,w." aec✓ II <br /> Street Address, City, State, and Zip Code <br /> Interest in Property (check appropriate box): <br /> e 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 ? 1 °/ L 2) 04Z ae.. Atz 2- / �,f/,,v/ <br /> Legal Description or Property Identification Number <br /> Legal Owner: Name/Address <br /> Present Use (check appropriate box): • <br /> ❑ Undeveloped/Vacant <br /> ❑ Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units ) • <br /> ❑ Business/Commercial Establishment <br /> ❑x Industrial Establishment <br /> 2- Other (explain) C#eied As s,,-C <br /> Property Classification: 0 Abstract ❑ Torrens <br /> REQUEST: Z.�v .,)74,-/ �ic S i ti/ i e 4„04r;-, Fe.- jC6-c rt.-y r�io%;1 c.4/ <br /> ,, v/ - i . <br /> //e- r€C A- may/dA.J. <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 TRU' AO cae, <br /> Signature <br /> Rezoning $200/acre,minimum$200,maximum $1,000 Park Fund Dedication Fee <br /> Variance R-1 to R-2-$75,ail others$200 Date Paid <br /> Conditional Use Permit 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 '7-, 0 0 <br /> Minor Subdivision $150 Date Paid ::d- o -9 5 <br /> Major Subdivision $250 plus $250 deposit Receipt Number •-":-.),•..--7 <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 / - - y, :' S Plannin Case No. r�' — '-11.� <br /> 9 Admin.Account No. )1 ilk} <br />