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� C��Sr'� OG� <br />������ <br />-o <br />;� <br />P�,� �11���'�� <br />� S <br />a�rerr ° PartnerS�'�Q <br />COMMUNITY DEVELOPMENT DEPARTMEIVT <br />,:: , ,;. . .� f l <br />2401 County Road 1Q, Mounds View, MN 55112 <br />t7��� 7i7-�aza <br />Fax (651} 76S°1660 <br />Please Typ� or Print Information - Campiete Both Sides of This Form <br />Applic�r�� Ir��ormatso � <br />Name of Applicant `�' 1�f�.�/`��{,✓ %fephon ��j �r��' 7�7! <br />Address r���.S C��r.•a� w� l� Fa�7G.:�,} ��,� �»y� <br />1�/�' �.��,-�c �.��� /'��t1 .S�SI/� <br />E-mai1: � � S v Gfir <br />Io��ere�t ��t Prope (cheefc appropriate box) <br />� Owner of Properry <br />❑ Lessee, Operator, Manager <br />C� pther (explain) <br />C7 Cantract for Deed Owner <br />� Agreement ko Pur�hase <br />,9pplic°ants rarr�sf pro�ride evideB�ce �fir�t�res�' in pe'op�rty at tfie firne of app/ic�t%�n, and if <br />you ar� not tlre o r�,��r° af t/r� pr�pert�Y' yoa� rnust �itfier provrde a Iet`�er �f/a�rrr�lssie�n frorn <br />ifi� o�rrrer givirrg �onse�t to tir� �lfng of this app/icate�n or tfre proper� o�r�aer° rr�ust sigr� <br />tfai� app/ecation for it t� be accepted <br />Prope Descriptac�r�/Prop�s�l <br />Address or General Location � C �� f�a�.� ,.. �-�� /� z S a � r..e S <br />�egal Description <br />Property Identi�cation # (PIN #) <br /># of Acres <br />Current Zoning <br />.- + =r. .;. <br />� <br />■ <br />■ <br />r <br />■ <br />■ <br />■ <br />■ <br />■ <br />� <br />�. <br />■ <br />■ <br />� <br />�� <br />�� � <br />�%�: ,� c`..? ���� .5 �'� � �-� <br />Comprehensive Plan Amendment <br />Rez�ning <br />Majar Subdivision <br />Minor Subdivision <br />Planned Unit Development {PUD} <br />PUD Amendment <br />Condltional/Interlm Use Permit <br />Variance <br />Tex� Amendment, zoning Code <br />Text Amendment, Other City Code <br />Develop Review/Site P[an <br />Wetiand Alteration Permit <br />WetEand Buffer Permit <br />Other <br />$25� <br />$50� <br />$50a <br />$250 . <br />$750 <br />�350 <br />R-1, R-2 $150; afl others $3Z5 <br />R�1, R-2 $150; afl others $325 <br />$15� <br />$125 <br />12s acre; min �1z5 max $7so <br />R-1, R-Z $150; alf others $200 <br />R-]., R-2 $25; all athers $100 <br />;; ; <br />