Laserfiche WebLink
i <br />CITY OF MOUNDS VIEW <br />PLANNING APPLICATION <br />9 / Date -//-SS-ffi <br />APPLICANT: NaFhane7vS--.50 Z 1 <br />Address '.20%� 1_0•'S <br />Interest in Property (check appropriate box): <br />4=er of Record Lessee, Operator, Manager <br />Contractor for Deed Owner Agreement to Purchase <br />other (Explain) <br />Documentary evidence of applicant's interest in the property may be required <br />before final City action on this request. <br />PROPERTi: Address/General <br />Legal Owner: Name/ <br />2zc C L0. 5 3� <br />Present Use (Check Appropriate Box): <br />RUndeveloped/Vacant <br />Single Family Dwelling <br />Duplex Duelling <br />multiple Duelling (3-6 units) <br />Other (explain) <br />:auj <br />Apartment <br />Rusinesp Esablishment <br />Industrial Establishment <br />Property Classification: Abstract Torr � s, <br />REOUF.ST: <br />I hereby declare thet the shove statements are true. (signature) <br />- <br />gnature) <br />FOR OFFICF. USE ONLY: <br />Subdivision. Kaior <br />Subdivision, Minor <br />Rezoning <br />Conditional Use <br />Variance <br />Code Appeal <br />Alteration Permit <br />Park Fund Dedication <br />Date Paid <br />Receipt Number <br />TOTAL <br />RASE <br />x(Sese. Fees are <br />Non -Refundable) <br />DEPOSIT <br />FEES <br />S250 <br />0150) <br />TOTAL FEES PAID <br />Date Paid <br />S100 <br />($15) <br />S100 <br />(S50) <br />Receipt Number <br />001 1 <br />S100 <br />(S50) <br />3o/a7 <br />$75 <br />(S50) <br />�G_J <br />S1DO <br />(S50) <br />S150 <br />(55n) <br />