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, CITY OF MOUNDS VIEW <br /> m PLANNING APPLICATION R <br /> APPLICANT: ULU:X C -i {v-k_. Phone 453Es -f0"1 ll <br /> • <br /> .,., <br /> ADDRESS: e 2 S \eu_ \144-lam PK. Sr,Qcu .vi.1 l fl <br /> Street Address, City, State, and Zip Code <br /> Interest in Property (check appropriate box): <br /> O 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 property may be required before final City action of this request. <br /> PROPERTY INVOLVED: <br /> Address/General Location N Ooi .LM\11i.,\A/ U A p Pit16 CIMITS. <br /> 14-wti 1.0 I Unit-,it-, 1. 9-1). <br /> Legal Description or Property Identification Number <br /> Legal Owner: Name/Address PDQ ktlitg..QP.ESA <br /> 1_22"1 tiLINgLSX AVE_ %-r.PAcJL <br /> Present Use (check appropriate box): <br /> • 0 UndevelopedNacant <br /> ❑ Single Family Dwelling <br /> SD Duplex/Two Family Dwelling <br /> O Multi-Family (No. of Units ) <br /> ❑ Business/Commercial Establishment <br /> ❑ Industrial Establishment <br /> ❑ Other (explain) <br /> Property Classification: 0 Abstract 0 Torrens <br /> REQUEST: QO ritLIA- . t�Sf_ 4f1Qirr7in O9- A LxLQS <br /> cv�i mw - Prr moot f \i I Evv . is \,iu... 16_ CL;2. <br /> `S"%-k \N.A_ c - moo lops \1 t c w gCjv Phi. .L Tj0iiC <br /> • _, 11 . _ ow_. , (—_. <br /> i • *Please note: Applicant may be responsible for addional fees a ociated with the evi eo ' r <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRU . <br /> Signature <br /> Rezoning $200/acre,minimum$200,maximum$1,000 Park Fund Dedication Fee <br /> Variance R-1 to R-2-$75,all others$200 Date Paid <br /> Conditional Use Permit R-1 to R-2-$75,all others$200 Receipt Number <br /> Code Appeal $75 <br /> Develop./Site Plan Review $100/acre,minimum 100,maximum$500 Total Fees Paid I „ i 0 <br /> Minor Subdivision $150 Date Paid - — r <br /> Major Subdivision $250 plus$250 deposit Receipt Number 7(0 i( <br /> Comp. Plan Amendment $200 <br /> Wetland Alteration Permit $50 plus deposit determined by Staff41 <br /> Additional Fee Paid <br /> Wetland Buffer Permit $10 Date Paid <br /> Planning Sign $50 Receipt Number <br /> PUD $350 <br /> PUD Amendment $150 Date of final action <br /> APPROVED 0 DENIED 0 TABLED 0 <br /> Date '._?^// - i'7 Planning Case No. 1/ ' q 7 Admin.Account No. r\ <br />