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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> APPLICANT: ).-NJ S EAcLI Phone 11 F.0 --57 oo <br /> II/ ADDRESS: ( 9s7 KQAtiwooci SQ. i'uU <br /> Street Address, City, State, and Zip Code <br /> Interest in Property (check appropriate box): <br /> ❑ Owner of Property <br /> ❑ Contract for Deed Owner <br /> ❑ Lessee, Operator, Manager <br /> ❑ Agreement to Purchase . <br /> ❑ Other (explain) <br /> 0ocumentary evidence of applicant's interest in the property may be required before final City=ton of this request <br /> PROPERTY INVOLVED: <br /> Address/General Location 95_32. — 95 443 S;1 ver 2,1•4/e. 12x,4 d <br /> Legal Description or Property Identification Number <br /> Legal Owner: Name/Address -0 i c k Ea;N) t7532. 6;1der La We. <br /> ? ;It co lb e r-+ '15440 z i l o e r L .kms_ \c„, <br /> Present Use (check appropriate box): <br /> O UndevelopedNacant <br /> • <br /> ❑ Single Family Dwelling <br /> Duplex/Two Family Dwelling . . --. ..e '\ <br /> O Multi-Family (No. of Units . ) <br /> Q Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> Q Other (explain) <br /> • <br /> Property Classification: Q Abstract Z Torrens <br /> REZUES T: �i r \ , r ' raw, fl53 s a.to 1 O.& -6 <br /> t. 15LI'D %5 luer Lr,Ki_ . <br /> 'Please note: Applicant may be responsible for=atonal fees associated with e review of this request <br /> I HE:;E3Y DECLARE THAT THE ABOVE STATEMENT ARE TRUE. a <br /> 7:4140-1 <br /> - Signa I,re <br /> -_ ..-..-!!llRlrlIP!ll9IIII.M7.lF1r7r7!!=7ltirR Irlff*7'f7.!='p f a. X7 DI.. fir!'R!=w?^r <br /> Rezoning 5200/acre.minimum$200.maximum 31,000 Park Fund Dedication Fee <br /> Variance R-1 to R-2-S75.ail others 3200 Date Paid <br /> Conditional Use Permit R-1 to R-2•S75.ail others$200 Receipt Number <br /> Code Appeal S75 <br /> Deveiao Site Plan Review Si 00/acne.minimum 100.maximum $500 Total Fees Paid / 'O• a o <br /> -46z=cop $150 Data Paid / - 1171, <br /> • ,- -+• ....-=Nissan $250 pius$250 deposit Receipt Number 3 <br /> C.xno. Plan Amendment $200 <br /> wedana Alteration Permit S50 pius deocsit detemtinea by Starf Additional Fee Psid <br /> 'Nedana Buffer Permit 310 Cate Psid <br /> Planning Sign $50 Receipt Number <br /> PUO $350 <br /> PUO Amendment 3150 Oats of final acton <br /> APPROVED C✓ DENIED _ TASK <br /> clam I O-17-01 (/) 'k t. - cl,la _,_ ,______ .,_ yv\ Ivar <br />