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�a� o� <br />������7 <br />-� <br />: <br />n <br />"�,� �� ����,1��I <br />P°d'rers @ Partn�rS�`�@S <br />COMMUNIIY DEVELOPMEI�T DEPARTMEIVT <br />� •: � � � � � <br />Z4O1 County Road i0, Mounds View, NEN 55112 <br />{763)717-4020 <br />Fax (651) 765-1660 <br />Please Type or Print Information - Complete Both Sides of This Form <br />Appl�car�� Ir�fo�°matio� <br />Name of Applicant �J D �<�i %r� S ��''c� __ Telephone ��.-�' �.� ° � 7Z( <br />Address � - Z % .�%�' �� � /,-f--z �L°,�.f` � Lc.}� � fs `I --�. �?l �'] Z� <br />�,�Ji�7.�� � ����r°c�r ►d I'd2z�, S ��l r '� <br />�-t7181�: �,�i �',� Y' r-( �' Gr [� � • C_'_c+�r� <br />/ <br />�t�t�res� [� Prope (check appropriate box) <br />� Owner of Property <br />❑ Lessee, Operator, Manager <br />0 Other (explain) <br />� Contract for Deed Owner <br />� Agreement to Purehase <br />••.. ,.�. ,- .- - . ,, :..- - . _;, ,. , .: <br />�,.�f - ,. - ,. - - ; `� � R� � .R�. _ � , - Fr . �'.." - - ` .X k'�- - ; , �� , <br />. � ..__„ �. _ . . . ,:.< <br />- . , : .. - . . ._ :. . <br />- -- �� .. �, , r � � �� _ '�; � i - - F; .� _: i � �. � .-! r " � i �:�,= i, ,- �;�: i . <br />� i I '�1 .f"� R� 1' " ".l � ���� /�, <br />Propesty �escription/Propos�l <br />Address or General Location <br />Legaf Description <br />Property Identification # (PIN #) <br /># of Acres <br />Current Zoning <br />�. �� - . �= :. ,. .� � . : �: <br />■ <br />■ <br />■ <br />■ <br />■ <br />■ <br />■ <br />is <br />■ <br />■ <br />■ <br />■ <br />■ <br />■ <br />% �`rr��r�? s ��r � �-u <br />— <br />Comprehensive Plan Amendment <br />Rezaning <br />Major Subdivision <br />Minor Subdivision <br />Pianned Unit Deve{opment (PUD} <br />PUD Amendment <br />Conditionaf/Tnterim Use Permit <br />Variance <br />Text Amendment, Zoning Code <br />Text Amendment, Other City Code <br />Develop Review/Site Plan <br />Wetfand Aiteration Permit <br />Wetiland Buffier Permit <br />Other <br />$250 <br />$500 <br />�500 <br />$250 <br />�750 <br />$350 <br />R-1, R-2 $i50; all others $3Z5 <br />R-1, R-2-$15�; all others $325 <br />�iso <br />$125 <br />$125/acre; min $1Z5 max $750 <br />R-i, R-2 $150; all others $Z(3� <br />R-1, R-Z $Z5; all others �100 <br />