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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: UU r# C M_ Am� C_I OCY) Phone t0-oD.3O <br /> • ADDRESS: 0�i <br /> ) c -rua.- CtanAct_)01(1- <br /> rS rio lL 55113 <br /> .3 <br /> Street Address, City, State-,Ind Zip Code <br /> Interest in Property (check appropriate box): <br /> ❑ 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: 42A-(71.., 4-9,t/ <br /> gi©o -i( �o Z, -�(— <br /> Address/General Location A ay <br /> y, <br /> Legal Description or Property Identification Number G 6 4 3 Z. /d e 1e 7 <br /> Legal Owner: Name/Address � , � ��, //6e ,`f /<' <br /> Present Use (check appropriate box): <br /> Undeveloped/Vacant <br /> ❑ Single Family Dwelling <br /> • 0 - Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units ) <br /> ❑ Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ • Other (explain) <br /> Property Classification: 0 Abstract 0 Torrens <br /> RQUEST: ,, i � rH I . i L/ • i 'Jar <br /> -E `.L`"ta f' la l,Q'-ri ,;i c CY;o, G fr • �/e_h l`e iP an r: :5` '��t`n <br /> rr�C ' l tYlrt t /e iir ��`r Ji?crK nhcp mare <br /> *Please note: Applicant may be responsible for additional fees associated with the revi'w of his request <br /> 1 <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. 4111 <br /> Sigriatu _�-L <br /> 1-G <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,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 <br /> Maior Subdivision $250 plus $250 deposit Receipt Number <br /> Como. Plan Amendment $200 <br /> ip 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 /> c� /- t1 / APPROVED 0 DENIED 0 TABLE 1.11Date 5 - g l ll! Planning Case No. l+ti£ (P Admin.Account No. <br />