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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPUCANT: •r ot.k\(k.5 t't'e w r v. Phone 78q- gq6 -,. <br /> • ADDRESS: A %gO W . C -Kt . Ra. . 1 M o 1.444s vi1, y % i . <br /> Street Address, City, State, and Zip Code o w n t rS SS!/Z-- <br /> Interest in Property (check appropriate box): To rw. MP%fe-J2.. 636-587 L <br /> ®' OwnerSof Property — <br /> .o l` aOki <br /> *'ev KR, - . <br /> ❑ Contract for Deed Owner SI t X31 <br /> ❑ Lessee, Operator, Manager `� 3 X550 <br /> ❑ Agreement to Purchase Lem- 11-o-z-r <br /> ❑ Other (explain) i r.So �a n.�,Qe r ie o-a► <br /> 5kore✓ie44/ ss <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 %Z ago • (Al . C---(17 . /Z4 <br /> Mo t,t,r.c S iii e4.0 J F'1 t l.1 mitt 1-.-- <br /> Legal Description or Property Identification Number CF-< ,•, -,33 -) - 00 <br /> _i_ z �� ,‘!-ic,41 r_h '5 .tea- c--0 5 4q- fix /to ' / <br /> Legal Owner: Name/Address ,. '=Jc .k? t„,,,o-„, ,u<:c.6',/4,Zt {Z , / .tk; // Ott/,-)1,-y)�; j�c <br /> i n •y'n,.. /,'I --)a-74i 7. W-� ,_Ui1'L121-1.I �/i 0%)(IA/.IM/'i PA MA 4) <br /> Present Use (check appropriate box): ="- "-7.` 1-,t.t,D -/-) 5S/-2(.,- <br /> ❑ UndevelopedNacant <br /> 0 Single Family Dwelling <br /> • <br /> ❑ Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units ) <br /> z Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: 0 Abstract 0 Torrens <br /> REQUEST: 14 c2 - <br /> *Please note: Applicant may be responsible for additional fees associated with the review of this request <br /> 61 yvt <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. c- _ <br /> Signature <br /> Rezo. a, $200/acre.minimum$200,maximum $1,000 Park Fund Dedication Fee <br /> R-1 to R-2-$75,all others$200 Date Paid <br /> • • -• Use Permit R-1 to R-2-$75.ail others 5200 Receipt Number <br /> Code Appeal $75 <br /> Develop./Site Plan Review 3100/acre,minimum 100.maximum $500 Total Fees Paid 3_i)Q <br /> Minor Subdivision $150 Date Paid ;-)I- Ci/r‘ <br /> Maior Subdivision $250 plus$250 deposit Receipt Number 7 7 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 ❑ TABLED 0 <br /> Date 317 / 1C r. Planning Case No. I/ '• ” /4 Admin.Account No. n i 1 <br />