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,�'��"'�°' �,Y;r�� <br />w iE �r t;; r <br />�"'J �'��`�� �' �`y; <br />*tl <br />�., <br />� s ,�z��.:. <br />i �. �;�,;3,�7 <br />�1;� rv.� <br />9' �� <br />4 <br />�i�,y.� ,. �'EiR'L�i.Ce;�`t4� <br />COMMUNITY DEV�LOPMENT DEPARTMENT <br />:.-� 1 - ,_ . ,�, ., ` . <br />, .: <br />2401 County Road f0, Mounds View, MN 55112 <br />t��3}7i�-4azo <br />Fax (b5I} 765-1660 <br />Please 7ype or Prinf Information - Complete Both Sides of This Form <br />A�pt��ar�t In�orenation <br />Name of Applicant �•��� ��° �'����� °°� ��m�� {������lephone � �� p ���' � ` � <br />Address (� l � � ts� . ��� Fax `� • � � � ° � �°A <br />ttv� �� � �. � � �� ��9 <br />E-mail: '°�'����,� ,� ��r��G�t'°e�>�,��. <br />I�teres� it� �s�o�s�r�y (check appropriate box) <br />Owner of Property ? Contract for Deed Owner <br />Lessee, Operator, Manager Agreement ta Purchase <br />Other (explain) <br />,4pplicanrs must provide evidence of interes�in propertyat fhe time ofapplication, and if you <br />are noC fhe owner of the property, you must either pravide a Ietter of permission from the <br />owner giving consent �o the filing of this applicai�ion or ihe property owner must sign fhis <br />application for it to be accepted. <br />Prope� Des�riptian/Praposal <br />Address or General Location <br />Legal Description <br />Property Fdentification # (PIN #} <br /># of Acres <br />Current Zorting <br />,- . _,, .; <br />? <br />� <br />? <br />� <br />� <br />? <br />� <br />? <br />� <br />� <br />� <br />� <br />. s <br />: r , <br />_. <br />. � _ ► �, _ <br />►-, ,. , <br />_ <br />+� • r..... �', � , ,�_� , <br />� -- . .. - <br />Camprehensive Plan Amendmen� <br />Rezoni ng <br />Major Subdivision <br />Minor Subdivision <br />Planned Unit Development (PUD} <br />PUD Arnendment <br />Conditianal/Interim Use Permit <br />Va ria nce <br />iext Amendment, Zoning Code <br />Text Amendment, Other City Code <br />Deveiop Review/Site Plan <br />Wetiand Aiteration Permit <br />Wetland Buffer Permit <br />Other <br />C �'`�� � <br />$250 <br />�500 <br />$50� <br />$Z50 <br />75 <br />$354 <br />R-1, R-2 $150; afl others $3Z5 <br />R-1, R-2 $156; aIl others $325 <br />$15� <br />$125 <br />$125Jacre; min $125 max $759 <br />R-1, R-2 $150; al! others $Z00 <br />R-1, R-2 $25; ail others $100 <br />oZt-d 3(� l�le�t�, • ! 0 � <br />a`� �f � i�s �y� �k.1�.�s `� � 1 � <br />.� ;3�,o s j7�°o�°�� <br />c� �� p���e�°� '�°�-2..� �3q�e•�S P���-c���— <br />�drza � ���.�.� <br />