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CITY OF MOUNDS VIEW_ <br /> PLANNING APPLICATION <br /> APPLICANT: hien 8S ± 4 SO ALS C6 Al St- C9, ' N C- Phone 7? ''' �Sd <br /> ADDRESS: ),24-9? CO, efi .I-/ /he I J J/ S V i tf Id SS /Ilk <br /> Street Address, City, State, and Zip Code• \ _ - <br /> Interest in Property (check appropriate box): I ‘47-441".4..., <br /> 4.., <br /> Owner of Property • <br /> IS— 0 Contract for Deed Owner <br /> 0 Lessee, Operator, Manager I <br /> 011440 — 0 Agreement to Purchase • <br /> 0 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: <br /> Address/General Locations?' CO, ed <br /> Legal Description or Property Identification Number <br /> 0g.. o - ,?3,9- 3 -oola <br /> Legal Owner: Name/Address---t CMS S6 Ai_S ea/US-3--. Co. T. /U <br /> '---�c't Ca . ea I-i PC)611M1D_ _ 111 Et() )9'1 /U„ ,S-S / 1 ) <br /> Present Use (check appropriate box): <br /> • <br /> ❑ UndevelopedNacant <br /> ❑ Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling _,r-: .-:__- 11,- <br /> 0 <br /> Multi-Family (No. of Units ) <br /> ❑ Business/Commercial Establishment <br /> Industrial Establishment <br /> • <br /> -0 Other (explain) <br /> • <br /> Property Classification: `�Abstract ❑ Torrens . <br /> I r <br /> REQUEST: I 1 :e i _ A 11 i A) a 8-G i / l' t lla <br /> 6k) 6 r- c Cf- 1 cp _ , 1,9 m-F- -t ,p s -r e u t t-Lx <br /> *Please note: Applicant may be responsible for accitionai fees associated " 'the review of this r uest <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE/ //tiyf� �//I iik-/ <br /> Signature <br /> Rezoning $200/acre,minimum$200.maximum 51.000 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 /> Cod= c.•_-- $75 <br /> Deveiop./Site Plan Review 5100/acre,minimum 100.maximum $500 Total Fees Paid /& W�r <br /> - • • • S150 Dare Paid Ce —/n^-C7(p <br /> Maar Subdivision $250 pius$250 deposit Receipt Number ‘.5/7 (04-t. <br /> Comp. Plan Amendment $200 <br /> Wetland Alteration Permit S50 plus deposit determined by Staff Additional Fee Paid <br /> Wetland Suffer Permit $10 Date Paid / <br /> Planning Sign S50 Receipt Number <br /> PUO $350 . <br /> PUD Amendment $150 Data of final acsson <br /> r^ APPROVED Q DENIED TABLEDTABD <br /> Date — 6 7 1, , Planning Case No. t{ yS S.-a(P Admin.Account No. y-N ) 1 <br />