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CITY OF MOUNDS VIEW _ <br /> PLANNING APPLICATION <br /> APPLICANT: I i) i� '•" -Sc._.1 I-)�;£ ` <br /> Fhone ./� 'NV/ l YY53 <br /> ADDRESS: .. "--)7 of t ?kJi J . 4 J. A).£ . i. cA-J4 At\ij . 75-Sc`"/o • <br /> Street Address, City, State, and Zp Cade <br /> Interest in Property (check appropriate box): <br /> ❑ Owner of Property <br /> ❑ Contract for Deed Owner <br /> O Lessee, Operator, Manager <br /> ❑ Agreement to Purchase R <br /> • <br /> ❑ Other (explain) f',-.J.-; t . ,,dc, 4-L A.�z \ .mo . <br /> Documentary evidence of appiican{s interest in tie property may be required before final City con of this request <br /> PROPERTY INVOLVED: <br /> Address/General Location IA, ti.,IA / 1 0 -- I n ir- r! <br /> Legal Description or Property Identification Number <br /> Legal Owner: Name/Address. S-t 2 . .J-i . <br /> ,L?..a7 (AT J. Al, NS7-. g J i rn� . 1;-.S-V I LI <br /> Present Use (check appropriate box): <br /> ❑ UndevelopedNacant <br /> ❑ Single Family Dwelling <br /> • ❑ Duplex/Two Family Dwelling . .- . . .._.. - .. --- --.---------• -- -- -., <br /> ❑ Multi-Family (No. of Units ) <br /> a Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Ciassmcatio/n: ❑ Abstra ❑ Torrens <br /> L, <br /> RECUEST: /c'5.,1C1. -/D S ' /L )/inn- S' fC <br /> �� S <br /> *Please note: Applicant may be responsible for adcitional fees associated with the review of this request <br /> I HERESY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. <br /> .-trwirgres-Rwitirvirtriewrirsrgrairivirtrgrimwririrarirstir.rwrirmirmmIrartrervirartritimirerstvrortirstireVtlIfIRMMIfirlirlit11!VW <br /> Signature <br /> Rezoning 5200/acre.minimum S200.maximum S1.000 Paris Fund Dedication Fse <br /> V R-1 to R-2 Y,ail others=00 Dana Paid <br /> itionai Use Perm R-1 to R-2rlo;ail others 5200 Receipt Number <br /> Cxe p S75 <br /> Deveiop./Site Ran Review St00/ace.minimum 100.maximum 5500 Total Fees Paid <br /> Minor Sucaivision • 5150 S <br /> Dara Paid i /// /�� <br /> Mak r Subaivision S250 pias S250 deposit Receipt Number <br /> C:.mp. Pian Amendment 5200 5-3 io <br /> Wetland Alteration Permit S50 plus depositcetarmineo by Start Additional Fee Paid • <br /> Wetland Surfer Permit 510 Cate Paid <br /> Planning Sign S50 Receipt Number <br /> PUO 5350 <br /> PU0 Amendment 5150 Data of anal acoon <br /> _cl,^ APPROVED E DENIED — TA L-7 — <br /> Data 11 l� 111 Pi (Di — 9 to <br /> arming Case No. 4 Admin.Ac,runt No. <br />