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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: 404//kA L ._ 6z.ARD.t/ER Phone 721,-7.51F <br /> •ADDRESS: R92o 1;2E1154A/1 U/Eci ye we ( i ot.,vds U/F'w /)1,✓ S'S j/ )-- <br /> Street Address, City, State, and Zip Code • . <br /> Interest in Property (check appropriate box): • <br /> 1g 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 praaany may be required before final City aeon of this request <br /> PROPERTY INVOLVED: • <br /> Address/General Location $y 'O P2EASRNT Y1Eu DAliE <br /> Moot/ds V/E w <br /> Legal Description or Property Identification Number 1A/ii/TE OAK ESTATES 7N/RD <br /> ID. # OG 3023 2?. 0072. / LOT /D .131..K / <br /> Legal Owner: Name/Address RONALD L. G.A R DA/ER <br /> 8yso PLE/9S11Av7' View ARtv6 <br /> fl1 oovds V/Ew /1 Al <br /> Present Use (check appropriate box): - <br /> ❑ Undeveloped vacant <br /> Single Family Dwelling . <br /> ❑ Duplex/Two Family Dwelling .. <br /> ❑ Multi-Family (No. of Units ) <br /> ❑ Eusiness/Commercal Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> • <br /> Property Classincation: 2' Abstract 0 Torrens <br /> RECUEST: '-fizAC_c, Ex S TING.. /Zi 6 Dtcck tr./ i-/TAR 'FE SEASONS <br /> PoRc , x _ 0e//1 -/ 1 Ca ) (Js <br /> ./iliga AEI 140 J <br /> .���iaAi <br /> *Reese note: Appiicant may be responsible for accitional fees associated with the review of this request. <br /> I HEREBY DECLARE THAT THE AEOVE STATEMENT ARE TRUE t / ,c. <br /> Signature <br /> .,ir .. ,. ,._� inellw,.. ire,._ __ <br /> ,. irgro ,.,._,.�„_i. Sig <br /> ersriesinintriemirlreirwleirtr <br /> $200/acre.minimum$200.maximum $1,000 Paris Fund Dedication Fee <br /> R-1 to R-2-S75..a others 5200 Owe Paid <br /> anal Use Permit R-1 ti R-2-S75.ail others=00 Receipt Number <br /> Cade Appeal $75 <br /> Deveioo.;Site Plan Review 5100/ac:e.minimum 100.maximum $500 Total Fees Paid # 7.S" <br /> Minor Subdivision $150 Oars Paid <br /> Maier Suodivision 8-; .�/ <br /> S2V0 pias SZ_0 deposit Receipt Number � l_i2 i Ill <br /> C;.mo. ?!an Amendment SZCO <br /> Wetland Alteration Permit $50 oius deposit determines by Staff Additional Fee Paid <br /> Wetland Sutter Permit S10 Cate Paid <br /> Planning Sign S50 Receipt Number <br /> PUO $350 <br /> PUD Amendment 5150 Dare of final act,.on <br /> APPROVED 0 DENIED = TAEUD <br /> Dare Y- 2.2- 9b Planning Case No. q 5 7- q CO Admin.Account No. r /)4 <br />