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r� o�r o� <br />D�.��ti �`�� <br />� <br />P ii ��C�� <br />oA <br />r��YPfs , partne�S��4s <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />PLANNING APPLICATION <br />2401 County Road 10, Mounds View, MN 55112 <br />(763)717-4020 <br />Fax (651) 765-1660 <br />Piease Type or Print Information - Complete Both Sides of This Form <br />Applicant Informati� <br />Name of Applicant .�G�' � �C�je�/����h���' Telephone ���� ��'° ���� <br />Address � �� ��"`'ve%�'� f1'� Fax <br />f7llrvet c�-s /// e� � `���� -sS l/� <br />E-mail: �//TViced-�,�,�1� �.�.��/rh/� ...�G <br />Interest in Property (check appropriate box) <br />�Owner of Property <br />❑ Lessee, Operator, Manager <br />❑ Other (explain) <br />❑ Contract for Deed Owner <br />❑ Agreement to Purchase <br />App/icants must provide evidence vf interest in property at the time of app/icat%n, and if <br />you are not the owner of the property, you must either provide a/ette� ofpermission from <br />the owner giving consent to the fi/ing of this app/ication or the property owner must sign <br />ihis app/ication for it to be accepted. <br />Property Description/ Proposal /� � � y/� �r�¢� � ✓��/ ����? �f �` ��- <br />Address or General Location <br />Legal Description <br />Property Identification # (PIN #) <br /># of Acres <br />Current Zoning <br />Type of Application <br />❑ <br />❑ <br />❑ <br />� <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />0 <br />❑ <br />O <br />❑ <br />❑ <br />�1 <br />Comprehensive Plan Amendment <br />Rezoning <br />Major Subdivision <br />Minor Subdivision - <br />Planned Unit Development (PUD) <br />PUD Amendment <br />Conditional/Interim Use Permit <br />Variance <br />Text Amendment, Zoning Code <br />Text Amendment, Other City Code <br />Develop Review/5ite Plan <br />Wetland Alteration Permit <br />Wetland Buffer Permit <br />Other <br />$Z50 <br />$500 <br />$500 <br />$250 <br />$750 <br />$350 <br />R-1, R-2 $150; all others $325 <br />R-1, R-Z $150; all others $325 <br />$150 <br />$125 <br />$125/acre; min $125 max $750 <br />R-1, R-2 $150; all others $200 <br />R-1, R-2 $25; all others $100 <br />