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• <br /> CITY OF MOUNDS VIEW S' <br /> PLANNING APPLICATION <br /> �r�- ted- <br /> APPUCANT: ��� W -'I 1 Phone '713-9- 6 7 <br /> ADDRESS: 7c4sz- r/ v LP��. 7 c 9c S 37/2_ <br /> Street Address, City, State, andZ.lp Cade <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 aeon of this request. <br /> PROPERTY INVOLVED: <br /> Address/General Location -.`7 4L ' <br /> Legal Description or Property Identification Number (-57 Rb a 13Co:0 <br /> Legal Owner: Name/Address -et-42-rd a.rt_iiJ a- rte (Ala.-1 <br /> Present Usecheck appropriate ppropriate box)' - -. <br /> ❑ • UndevelopedNacant <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 Torrens . <br /> REQUEST: 4-or &- &4(4.t-h cJ 2 feel h !�v!c✓ a -�avx ly roor►� <br /> W�(C w0vld .c*e - -ern AA �l�L Sam G -n. SJR o -F' uS.2. . <br /> *Please note: Applicant may be responsible for additional fees associated with thereview of this req est v.0 <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE .,e.�%t��///d.., % 91-44e <br /> Signature <br /> th9 3200/acre.minimum 3200.maximum m$1,000 -Park Fund Dedication Fee <br /> °nCe R-1 to R-2-375.ail others$200 ' Oate Paid <br /> Gandi Use Permit R-1 to R-2-$75.all others=00 Receipt Number <br /> Cods Appel $75 <br /> Oeveioo.jSite Plan Review 3100/acre.minimum 100.mammum $500 Total Fees Paid 7S <br /> Minor Subdivision $150 Date Paid G&–/O-q C p <br /> Major Subaivision $250 plus 3250 deposit Receipt Number c I -7(e' 3 <br /> •Camp. Plan Amendment $200 <br /> Wetiano Alteration Permit S50 plus deoosjt determined by Staff Additional Fee Paid <br /> Wedartd Surfer Permit S10 Date Paid <br /> Planning Sign S50 Receipt Number <br /> PUO S350 <br /> PUO Amendment ,$150 Date of final action <br /> APPROVED ❑ DENIED D TA�817 <br /> Date 1 ' /—' Planning Case No. I'M y— 'r,J ,admin.Account No. ii ) �y'l <br />