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CITY OF MOUNDS VIEW <br /> PLANNING APPLICATION <br /> COW_-3LZ-4414- <br /> APPLICANT: <br /> 4- <br /> APPLICANT: Lt ir_s CoR TAVic ( Phone (051,-130-QS1s <br /> ADDRESS: 2VS \ L \i4k-%ttii fXY 1 < ► t~l <br /> Street Address, City, State, and Zip Code • <br /> 110 <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 /> Documentaryevidence of <br /> applicant's Interest In the property may be required before final City action of this request. <br /> PROPERTY INVOLVED: <br /> Address/General Location f )Ori..1V S 4jfi,�/ r OP 2'j (SkiP11.16 CSR <br /> Legal Description or Property Identification Number <br /> Legal Owner: Name/Address QAgra 6> Cf�Q,QE1 9i <br /> 'L2'L'1 �f ltvCY�t3`j ANL <br /> Present Use (check approprlat•a box): <br /> ❑ UndevelopedNacant <br /> ❑ Single Family Dwelling <br /> • ❑ Duplex/Two Family Dwelling <br /> ❑ Multi-Family (No. of Units ) <br /> ❑ Business/Commercial Establishment • <br /> ❑ Industrial Establishment <br /> 0 Other (explain) <br /> Property Classification: 0 Abstract 0 .Torrens <br /> REQUEST: QOL UTPPLUAL Cf Q i2 n- ) 0902S A L1 LO <br /> � • t h <br /> "M Nrcm- ccs— Nhouvils v►cw . szAuptez. <br /> , -Wn DLI ' ME_ L A4.1 <br /> *Please note: Applicant rfiay be responsible for add conal fees associated with the review • •is --t. <br /> I HEREBY DECLARE THAT THE ABOVE STATEMENT ARE TRUE. Ah- : , 4 v <br /> Signature F Li c l 1101.9 <br /> *************************•**********e, *********************************x********* ***4****** <br /> Rezoning $200/acre,minimum$200,maximum$1,000 Perk 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,mwdmum$500 Total Fees Paid <br /> Minor Subdivision $150 Date Paid <br /> Major Subdivision $250 plus$250 deposit Receipt Number <br /> Comp. Plan Amendment $200 <br /> Wetland Alteration Permit • $50 plus deposit determined by Staff 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 Planning Cass No. Admin.Account No. <br />