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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> • <br /> APPLICANT: Richard F . Wolens Phone( 612 ) 755 -8871 <br /> 781 -6966 <br /> • ADDRESS: 6726 137th Ave NW Ramsey , Mn . 55303 <br /> Street Address, City, State, and Tap 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 /> F-- PROPERTY INVOLVED: <br /> Address/General Location 2661 County Road I Mounds View , M n . 55112 <br /> Legal Description or.Property Identification Number 2661 County Road I i i v e r <br /> Lake Woods Ex Part Lying Sely Ely & Ierm . Lot 1 81k 10 <br /> Legal Owner: Name/Address Richard F . Wolens 6726 13 7th Ave . NW <br /> Ramsey , Mn . 55303 <br /> Present Use (check appropriate box): •_ <br /> ❑ Undeveloped/Vacant <br /> • <br /> ❑ Single Family Dwelling <br /> • 0 Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units ) <br /> qi Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: IZ Abstract ❑ Torrens <br /> REQUEST: Respectively request apermit to build a storage building <br /> for bicycles on the above stated property . CSee dLLdLhmeIIL) <br /> • <br /> *Please note: Applicant may be responsible for additional fees associated • the review of this request ' <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. (, .c.p./4.. ., 'Y , l-;1�, r, <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-$75,ail others$200 Receipt Number <br /> Code Appeal $75 <br /> Develop./Site Plan Review 5100/acre.minimum 100.maximum $500 Total Fees Paid *" <br /> Minor Subdivision $150 Date Paid -�_9.40 <br /> Major Subdivision $250 plus$250 deposit Receipt Number 5'O A/, <br /> Comp. Plan Amendment $200 <br /> ink 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 /> PUO S350 <br /> PUD Amendment $150 Date of final action <br /> ,1APPROVED ❑ DENIED C TABLED ❑ <br /> - <br /> Date - 7 — It, Planning Case No. 4J 37— Q LP Admin.Account No, ri/Q.. <br />