Laserfiche WebLink
PLANNING APPLICATI0N <br />APPLICANT: name( X. <br />address 2. 1 1,)!'..Ar/uw., IPYNI�.x,'L <br />interest In property (check appropriatu box): <br />0 owner of record <br />17 contract for dead owner <br />0 other (explain) <br />Data <br />phone .734 <br />0 lessee, operator, manager <br />CK agreement to purchase <br />Documentary evidence of applicant's interest In the property may be <br />required before final city action on this request. <br />PROPERTY: address/ganeral location - h� - I A'� <br />REQUEST: <br />legal owner: name/address <br />present use. (check appropriate box): <br />P$, undeveloped <br />EI buslnes5 estubllshment <br />0 single family dwelliml ❑ industrial establishment <br />13 duplex dwelling 0 apartment-. <br />0 other (explain) <br />I hereby declare that the above statements are true. <br />FOR OFFICE USE ONLY: <br />BASE FEESA <br />subdivision, major ($150) _ <br />subdivision, minor ($75) <br />rezoning ($50) <br />conditional use ($50) <br />variance ($50) <br />code appeal ($50) <br />subtotal <br />#Bose fees In parunthcsls are non•• <br />refundable, <br />Park fund d,•dicatlon <br />data gold <br />rucalpt 9 <br />gnature <br />ADDITIONAL FEES <br />rvappurtionment <br />public haaring notices <br />s aff, consultant reviews oa <br />IIII SLeI laneous <br />subtotal <br />TOTAL FEESIic <br />date paid 1,74- <br />receipt N 17.112- <br />i 7J/ a2' <br />