Laserfiche WebLink
City of l�lounds View, ititN <br />Development Application Pa�e � <br />Present Use of Property <br />❑ UndevelopedNacant : � <br />❑ Duple:dTwo Family Dwelling <br />� . Business/Commercial Establishment <br />❑ Other (e:cplain) <br />Properry Classification ❑ Absuact <br />■ <br />. <br />0 <br />Single Family Dwelling <br />Multi-family Dwelling <br />Industzial Establishment <br />Tocrens <br />BY ti1Y (OUR) SIGNATURE ON THIS APPLICATION, I HEREBY DECLARE THAT, TO THE BEST OF MY <br />KNOWLcDGE, THE INFORMATION PROVIDED IS TRLTE aNn ar_r_Tma� <br />Signature of Applicant <br />Name of Applicant (ryped/printed) <br />Signature ofProperty Owner <br />lame of Property Owner (typed/P�ce� <br />Address of Owner _ . <br />Phone Number of Owner <br />222�. � VL�'ll`vL�-il'�-/ /�✓�• <br />S-�. PU�L � . �N SSII y <br />�Cil2) �tyG -7qol <br />-�ep hA n � e }�u�ch� <br />********�*�»******�****»**»»*******»:****�**************.*:�*�»**********»*:**************»»**** <br />R OFFICE USE OIYLY <br />Date of Submittai __ � ;.�j�` —� <br />Date of Acceptance Assigned [o: <br />Planziing Case No. 60-day Limic 120-day timit <br />30� -� � . <br />Fees Paid: Account � Checic n � Receipt � <br />Application: .L'� � rj� �� � s <br />Park Dedicacion: <br />Deposits: <br />`ter <br />t otal: <br />`!:`.Dr1T.a�GROUPS1C01�IDEL�FORbtS�DEV.af'P.FOR 1/98 <br />