Laserfiche WebLink
Asa <br />CITY OF HOUNDS VIEW <br />PLANNING APPLICATION <br />APPLICANT: Name / l," �� o E <br />Address O? Lo.' 5 ->� <br />Date -Z9-S' <br />Phone 7W'--170 21 <br />Interest In Property (check appropriate box): <br />L-6ner of Retard 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 he required <br />before final City action on this request. <br />PROPERTY: Address/General Location ZZo T Lo,-5 ;D � j <br />Legal Owner: Name/Address /"1.r-1, 6N <br />Present Use (Check Auvropriate Box): <br />Undeveloped/Vacant Apartment <br />Single PamilY Dwelling Business Eaebliskment <br />Duplex Dwelling Industrial Establishment <br />Multiple Dwelling (3-b :mite) <br />Other (explain) <br />REOUEST: <br />Property Classification: Abstract Torrens, <br />eta � <br />I hereby declare that the above statements are true. <br />signature <br />FOR OFFICE• USE ONLY: <br />Subdivision, Manor <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 />BASF, <br />*(Base Pees are <br />Non -Refundable) <br />DEPOSIT <br />FEES <br />9250 <br />(S150) <br />TOTAL FEES PAID <br />$100 <br />($75) <br />— <br />Date Paid <br />S100 <br />S100 <br />(S50) <br />(S5D) <br />Receipt Number <br />5•Ro�s(�! <br />aol L <br />$75 <br />($50) <br />30/p7 <br />SI00 <br />(S50) <br />$150 <br />(S50) <br />*ed <br />