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CITY OF MOUNDS VIEW <br /> /� PLANNING APPLICATION <br /> / ur <br /> APPLICANT: U + and m, U GC11 I /Phone t14- 3Q <br /> • ADDRESS: 4 g a M c -ru ., S* . Ci .\. ,,r,11 S m C 5543 <br /> Street Address, City, State,-and Zp Code <br /> Interest in Property (check appropriate box): <br /> ❑ Owner of Property <br /> ❑ Contract for Deed Owner <br /> •► Lessee, Operator, Manager <br /> Ora Agreement to Purchase — % - �,%,..ST. LTPO.r.z . <br /> ❑ Other (explain) <br /> Documentary evidence of applicants interest in the property may be required before final City action of this request <br /> PROPERTY INVOLVED: . /7 gl a C� D = ' :3° -z3 '2A— �o7 9 <br /> Address/General Location (9 i ea,t., , ii: /t-c., ,Y�-' A. -...) i/f. V, <br /> / <br /> Legal Description or Property Identification Number L 6 "4 3 /5/4 e )' 7 <br /> So-) e_ci J 1,7 cs,4, <br /> Legal Owner:/j Name/Address �¢. r e. - /, ,O r_ /5..C4 / - A77/10) .7-Pr', 'l y.`l i/ i f -,2.—.4 <br /> Present Use (check appropriate box): <br /> ' UndevelopedNacant <br /> ❑ Single Family Dwelling <br /> III <br /> 0 Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units - ) - _ -- .- <br /> O Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: ❑ Abstract 0 Torrens <br /> R GUEST: pind,C7C7Yal, C( '_ �irm( f itY\Cc.g i ;71Li+ I .{ t i&r?-tDZtc' at.1 ' ) (;PN. afa c - 75r- vet() if, (r and :5 't-r',f;c,,P_, <br /> *Please note: Applicant may be responsible for additional fees associated with the revsw of his request <br /> � , <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. itai ` - '' -7 <br /> Sigr atu - L‘/7/0- <br /> Rezoning $200/acre,minimum$200,maximum$1,000 Park Fund Dedication Fee / <br /> Variance R-1 to R-2-S75.all others$200 Date Paid <br /> - Conditional Use Permit R-1 to R-2-375.all others$200 Receipt Number <br /> Code Appeal $75 <br /> Develop./Site Plan Review $100/acre.minimum 100,maximum $500 Total Fees Paid <br /> Minor Subdivision $150 Date Paid <br /> Maior Subdivision $250 plus$250 deposit Receipt Number <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 /> PUO $350 <br /> PUD Amendment $150 Date of final action <br /> t� / APPROVED ❑ DENIED 0 TABLED ❑ <br /> ?Date 5 - T - a' Planning Case No. -T ( -` �Co Admin.Account No. <br />