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CASE N0. 213-87 � <br />' CITY OF HOUNDS VIEW <br />/ <br />PLANNING APPLICATION Date <br />phone �: S' 3751 _ - <br />Nam<_�STT�il a NI Plirv) <br />SSI)Z <br />�A,PUCANT! � <br />H Ze <br />-19 ) `31LVE L R ^ '" <br />Address? <br />Interest An Property (check appropriate bux)s <br />Manager <br />Leseee, Operator, <br />to Purchase <br />e <br />Owner of Record Agreement <br />Contractor for Deed Owner — <br />other (gxplain) <br />interest in the Property may be requited <br />Documentary evidence of spplicantle <br />on this request. <br />before final. City sction <br />R r <br />-{ <br />Address/General Location_ EEtl 2.r✓�'q <br />PROPERTY: <br />Name/Address f A Q t <br />Legal Ownet: <br />- present Use (;heck Appropriate Box): <br />Apartm3nt <br />Undeveloped/Vacant BUFiness Eaablishment <br />A <br />_ <br />Industrial Establishment <br />Single Family Dwelling <br />Duplex Dwelling le Dwelling (3 6 units) <br />Multip--- <br />'r< <br />other (explal.sr)< <br />❑ Abstract lJ Torrens <br />— <br />Property Classification: t m t T <br />(Explain) sF> Blrnt})Fb NA A%'wr r <br />REQUEST: ---�— <br />e <br />sign-[ a ... <br />t hereby declare that the above Btatemen s------------� <br />--------------- <br />..�..z-- <br />1.; <br />_ <br />FOR OFFICF. USE ONLY: ADDITION <br />BASE FEW <br />ReappOrtionment <br />Subdivision, Major ($150) Publi(' Nearing Notice <br />Reviews 40D <br />Subdivision, Elinor ($75) ---' Staff, Consultant <br />Rezoning ($50) __� Miaceilaneoue —� <br />Conditional Use ($50) <br />Variance__ Variance ($50) — <br />Cnne Avff .. <br />Alterarlon Permit ($50) <br />:.-- <br />ABase Fees in parenthesis are non-refundable, Subtotal 6 b <br />TOTAL FEES <br />--� Park Fund Dedication — pate Paid <br />Number <br />Date Paid Receipt <br />_ Receipt Number ---� <br />- <br />