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I�ounds View Planjiing AppEic�.., ��� <br />— � ",��;` � <br />'����:a+- �._�_, � �, � <br />�.. <br />C7 Torrens <br />pesc�ip�iOn o� �t'�pt��al (attach additiona! supparting docur�entation iF r�ecessary} <br />_ _ G��° �,c���� � ��'�r 2 C` - <br />Page 2 <br />Ptease tVota: Applicants are respans'sble far ail eosts incurred assocfated with the fling, review and praeessing oP this application. <br />Such fees are to be paid in escrow up front or upon reeeipt of statement from the City of Mounds V'sew. Fees may include but are <br />not iimited to costs for eonsuilants retained by the City, consultant planning services, attorney, and engineer fees. A deposit may <br />alsa be eequired to cover eosts of public noYlces, materlals and staff time spent in the review, research or preparation of materiafs <br />associated with th'is applicadon. The appficant shal{ be responsible far all reasanable incurred easts in exeess of the initiai deposit <br />amount. Any portion of the deposit not spent or encumbered shal( be refunded to the applieant wi�in 30 days after consideration <br />of the app�ieation is completed. Payment of park dedieation Pees is required with subdivisian applieations. <br />i ACKNOWLEDGE THA� i have read all of the inFormation listed in the Planning Applitation and fially understand that i am <br />respor�sible Por all costs ineurr�d by the Ciry related to ihe �Orocessing of this appEication. <br />App[icant <br />�� " t °i � � � <br />bate <br />. _ - a . . . � . „ � ; - _ , , � � - � �_ - , �, ; '� � �. - ��� _ <br />., , _ � . <br />,. . , ; <br />� , . . �� � _ <br />!; ; :. <br />�' �� �° i- �'� '�': ` . � . �.� _ :i =i � � _:.. � . � � " �� �'_! ' '� �� _� �i �' �� .% ' ��� � <br />r <br />z, ► <br />Name of Applicant (typed/pri <br />Signafure of Appficant.� <br />Name of Property Owner (ty� <br />Signature of Property Owner <br />Address of Owner <br />Phane Number of <br />E-ma i! <br />R,� l �- v � <br />�:���**�x�����:�***�*���***�*�x��**��x�***�**�����****�******�*:�����*��*****�*x���*:�**����**�* <br />�OR O�FICE I15E ON�Y - - <br />i�ate of. Submittal �� ° ��° �. � Date of Acceptance: �°°� �� � <br />60-day Limii 120-day limit: <br />pfanning Case f�o(s} C�.d3 ° o� Assigned to: _ <br />Fees paid: Accaunt # Check # Receipt # <br />APplication: � � � � � � � �� � � � � �� ���� <br />Park Dedication: _ -- <br />�eposits: <br />other: <br />Tatal: <br />� o�oz <br />