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.. vs wavvrLar1L' w <br /> . PLANNING APPLICATION <br /> APPUCANT: C K,G Lr t/1 O,o ii+. Ao c_lc Phone 7S 6 - `?3-37-f--- <br /> ADDRESS: 7 7 0( f-.ci Dc,t 4.' <br /> II <br /> Street Address, City, State, and Zp Code <br /> kt cic. wk`s <br /> Interest in Property (check appropriate box): <br /> ❑ Owner of Property 041A-- V‘o, 2,- <br /> 0 Contract for Deed Owner <br /> ❑ Lessee, Operator, Manager <br /> ❑ Agreement to Purchase A • <br /> is Other (explain) C It.k-,.4 K5 G,4— i ✓14. .sr h .., <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 7 l o( /2.{) o. I. ,- <br /> Legal Description or Property Identification Number ,�/„p �� <br /> Li- <br /> Legal Owner: Name/Address C.G K,c., /J <br /> G f.( ,(/n �� i <br /> Present Use (check appropriate box): -. <br /> ❑ UndevelopedNacant <br /> Q Single Family Dwelling <br /> Q :__ -DuplexiTwo Family Dwelling =.. <br /> i- Q Multi-Family (Na, of Units ) . <br /> ❑ Business/Commercial Establishment <br /> Q Industrial Establishment <br /> Other (explain) C4 -c-.4 A Sc_4 aoI (r.i l< <, <br /> Sf <br /> Property Classification: Q Abstract 0 Torrens <br /> REQUEST: Co-.J. I----.1 Us-� i,„,:i . / Z``,95 7, 1,f S�_� <br /> *Please nota—Applicant may be responsible for aaditionai fees associated with the review of this requ <br /> / � c <br /> I HERESY DECLARE THAT THE ABOVE STATENIENT ARE TRUE. lit. <br /> Signature <br /> veleirlivrifeirfrieiranirintronirieleiritironevnirtirtrintititirte <br /> Rezoning 3200/acre.minimum$200.maximum S1,000 Park Fund Dedication Fee <br /> Variance R-1 to R-2-$75.ail others$200 Date Paid <br /> .r.. R•1 to R-2-S75,dl others 5200 Receipt Number <br /> $75SL <br /> Oeveiop./Site Plan Review S100/acre.minimum 100.maximum$500 Total Fees Paid f <br /> Minor Subdivision $150 Oats Paid 1 <br /> MI�aior Subdivision $250 plus 3250 deposit Receipt Number V <br /> Cama Plan Amendment S200 <br /> Wetland Alteration Permit $50 plus deposit determined by Staff Additional Fee Paid <br /> Wetland Buffer Permit S10 Date Paid • <br /> Planning Sign $50 Receipt Number <br /> PtJ0 $350 <br /> PUO Amendment $150 Date of find action <br /> p, APPROVED ❑ DENIED ❑ TABL 0 <br /> Oats CO – I / – 9 Go Planning Case No. -s f' L (P Admin.Account No. Y\ \ P1 <br />