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_::: { <br />; <br />�J�� 11 li V � <br />�f � �� <br />-o <br />� (i(����'� <br />mA <br />f°�r@rs o Partners�`�QS <br />COMMUNiFY DEVELOPM�Ni DEPARTM�NT <br />r . � . r. � • <br />24Q1 County Road 10, Mounds View, MN 55112 <br />(7�3) 717p40�.0 <br />Fax (65f) 765--1660 <br />Please Type or Print Information - Gompfete Both 5ides of This Form <br />Applfca�t Tr�forma�a�n <br />Name of Applicant a Telephane��s� °�� <br />Address 7� ��� d� o�i r a r� �� „ �,1 t1 � Fax <br />. � � �o� s � %� r.�: /�� �.�1:� <br />Eamail: <br />Zr�tere�t a� Prope (check appropriate box) <br />awner of Property � Contraet for Deed Owner <br />❑ Lessee, Operator, Manager ❑ Agr�ement to Purchase <br />❑ Other (explain) <br />`.. i[ Y - - " I I: l ' _ " .1 ' _ / . " f' ...��, � . - ": .i' , i S=: /' �� t� <br />'.,,*, '! " ,.' _', f ` /' .I..l'o ". I' _ l::.I 1 ": _ ' ' 1 � �;,=. :.,-�. , '..,,, <br />_ ._ . � . .: � � � 1 " , . �� -'.' , ' . . � .. :I� ,.�; <br />+ ', : I _ �' � ' / , ' I /" _ . - _ � ' .t. . ,, �, . . ,, I f ► ;.. - �, ; � <br />� I�'I'- 1- ' • � • i "' '�.' �� <br />Prope �escr�ption/Propc�sa� <br />Address or Genera! Loeation <br />Legal Descriptian �� GG �-�l�,c�� � <br />Property Identification # (PIN #) <br /># of Acres <br />Current Zoning <br />��,� � -� .�=� ,. ,., �, � , <br />� <br />� <br />■ <br />�y,, <br />�-A <br />■ <br />■ <br />■ <br />■ <br />■ <br />■ <br />■ <br />■ <br />■ <br />� .� � � � r <br />Comprehensive Plan Amendment <br />Rezoning <br />Major Subdivision <br />Minor Subdivision <br />Planned Unit Deveiopment (PUD) <br />PUD Amendment <br />Conditional/Interim Use Permit <br />Variance <br />Text Amendm�nt, Zoning Code <br />Text Amendment, Other City Code <br />Develap Review/Site Plar� <br />Wetland Alteration Permit <br />Weiland Buffer Permit <br />Oiher <br />�25� <br />$500 <br />2�� <br />7 <br />$35� <br />fZ-1, R-2 15a• all others $32.5 <br />R-1, R-2 ��50; all others $325 <br />$15Q <br />$125 <br />$125/ac�e; min $125 max $750 <br />R-1, R-2 $150; a!I others $200 <br />R-1, R-2 $2S; all others $100 <br />��-- <br />l��,���� � <br />