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. . CITY OF MOUNDS VIEW i <br /> PLANNING APPLICATION . - e <br /> APPLICANT: 4u n -I <br /> r Lkrte} F D 4 <br /> Phone 171V-30, <br /> ADDRESS: aYo • <br /> Street Address, City, State, and Zip Code <br /> Interest in Property (check appropriate box): . <br /> Owner of Property <br /> Q Contract for Deed Owner <br /> • <br /> 0 Lessee, operator, Manager <br /> 0 Agreement to Purchase <br /> Q 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 ga/a S S prirtj L e Rptr <br /> Legal Description or Property Identification Number Cie,30. 3a3CCo3 <br /> AP• _i. t,..- _ �-1- - r= h i- • <br /> 0.3 P4 <br /> Legal Owner: Name/Address r�� W ,c1 Y -r-I-- n C- L.of 1-1. <br /> Present Use (check appropriate box): <br /> Q UndevelopecfNacant <br /> `81., Single Family Dwelling <br /> Duplex/Two. Family Dwelling <br /> 0 Multi-Family (No. of Units - <br /> 0 Business/Commercial Establishment <br /> Q Industrial Establishment <br /> O Other (explain) <br /> Property Classification: Q Abstract 0 Torrens • <br /> RECUEST: <br /> 'Please note: Applicant may be responsible for aacitianal fees associates • the review of this request <br /> I HE--IE.-.=Y DECLARE THAT THE ABOVE STATEMENT ARE TRU- ,� o / <br /> •Signa . _ <br /> av <br /> Rezoni • S200/acre.minimum 5200.maximum St.000 p-• • Dedication Fee <br /> R-t to R-2-575.aii others 3200 Oats Paid <br /> . .anal Use Permit R•1 tit R-2-S75.all otters Scut Receipt Number <br /> Code Appeal S75 <br /> OeveiooaS to Plan Review S100/acre.minimum 100.maximum Sy00 Total Fees Paid <br /> Minor Sucaivision 5150 Oats Paid <br /> Mair Subaivisian 5250 plus 5250 deposit Receipt Number • <br /> Como. ?!an Amendment 5200 <br /> Wedana Alteration Permit S50 plus ceocsit determines by Staff Additional Fee Paid <br /> Wettana surfer Permit S1a Oars Paid <br /> Planning Sign S50 Receipt Number <br /> PUO S350 <br /> PUO Amendment SI 50 Date of tmal aedon <br /> APPRCVW it DENIED _ TASL-M <br /> Oats q/ I 't9 (p Planning Case No. Admin.Account Na. <br />