Laserfiche WebLink
City of Mounds View, MN <br />Develo merit Application Pa e 2 <br />Present Use of Property <br />,❑ Undeveloped/Vacant ❑ . ' Single Family Dwelling <br />�❑ Duplex/Two Family Dwelling ❑ ` Multi - family Dwelling <br />Ie. Business/Commercial Establishment ❑ Industrial Establishment <br />❑ Other (explain) <br />Property Classification ❑ Abstract <br />Description of Proposal <br />❑ - Torrens <br />LitIvE S <br />BY MY (OUR) SIGNATURE ON THIS APPLICATION, I HEREBY DECLARE THAT, TO THE BEST OF MY <br />KNOWLEDGE, THE INFORMATION PROVIDED IS TRUE AND ACCURATE. <br />Si attire of Applicant .:r <br />Name of Applicant (typed/printed) <br />Signature of Property Owner <br />/lame of Property Owner (typed/printed) <br />Address of Owner <br />Phone Number of Owner k) )79_ 7 3 5 6 • <br />***************************************************************,* * * * * * * * * * * * * * * * * * * * * * * * * *gi* * * ** <br />FOR OFFICE USE ONLY <br />Date of Submittal <br />Date of Acceptance Assigned to: <br />Planning Case No. 60-day Limit 120 -day limit <br />Fees Paid: <br />Application: ri 5 0• do <br />Park Dedication: <br />Deposits: <br />otal: <br />Account # <br />et <br />Check # <br />Receipt # <br />NA DATA1GROUPSICOMDEVTORMS1DE'VAPP -FOR 1198 <br />