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_=_=- _ , ,_, � _. � ' � .<_ ,_ .—_� _ �_ � � . = I� - --- _ <br />_v _ _ _ __ - _. _ _ __ . . __ <br />l _...- .-. .. . . a 4 �_ _ ' ' "_ "___�: _ '" _-' . � _ � '-.: . __ . _ .� -' �- - .m:. <br />� <br />� Mounds View Planning Application Page 2 <br />Present Use of Property ._ Amoco Stati on - Not O�erati ng <br />Property Classifieation ? X Abstract ? Torrens <br />Description of Proposal (attach additional supporting documentation if necessary) _ _ <br />Developer proposes to redevelop the site in order to construct a retail <br />store for use as a CVS/pharmacv. � <br />See Attachment for further information re4ardin� the application. <br />Please Note: Applicants are responsible for all costs incurred assodated with the filing, review and processing ofthis application. <br />Such fees are to be paid in escrow up front or upon receipt of statement from the City of Mounds View. Fees may include but are <br />not limited to costs for consultants retained by the City, consultant planning services, attorney, and engineer fees. A deposlt may <br />also be required to cover costs of public notices, materials and staff time spent in the review, research or preparadon of materials <br />associated with this application. The appli�nt shall be responsible for all reasonable incurred costs In excess of the Initial deposit <br />amount. Any portion of the deposit not spent or encumbered shall be refunded to the applicant within 30 days after consideration <br />of the application is completed. Payment of park dedication fees is required with subdivision applications. <br />I ACKNOWLEDGE 111A7 I have read all of the Information Ilsted in the Planning Application and ftilly understand that I am <br />r sponslble for ail costs incurred by the City related to the processing of this appllcation. l <br />n �„�'r.��n..� � o � � ( d �3 <br />L <br />Date <br />UiL,Mv�2 C.�vnP/�,.,��z5� Lc� <br />BY MY (OUR) SIGNATURE ON THIS APPLICATION, I HEREBY DECLARE THAT, TO THE <br />BEST OF MY KNOWLED�{ THE INFOR A ON PROVIDED IS�RUE AND ACCURATE. <br />/ 1 n /l � �...,r— � �Z-' �-,� `C� Q' _vV�/�.nJ� C5, l_.l._L <br />Name of Applicant <br />Signature of Appiic <br />Name of Property wn r(type�/printed) '"~ See Attachment <br />Signature of Prop Owner To be provided <br />Address of Owner � <br />Phone Number of Owner <br />*******************************�**********************�********************************* <br />FOR OFFICE USE ONLY <br />Date of Submittal Date of Acceptance: <br />60-day Limik 120-day limit: <br />Planning Case No(s) Assigned to: <br />Fees Paid: Account # Check # Receipt # <br />Application: <br />Park Dedication: <br />Deposits: <br />Other: — - - <br />7otal; <br />t oioz <br />