Laserfiche WebLink
City o£Mounds View, MN <br />Develo. ment A..lication <br />Present Use of Property <br />❑ Undeveloped/Vacant <br />• Duplex/Two Family Dwelling <br />❑ Business/Commercial Establishment <br />❑ Other (explain) <br />Property Classification Q Abstract <br />Description of Proposal 1. <br />Pa e <br />Single Family Dwelling <br />Multi- family Dwelling <br />Industrial Establishment <br />a Torrens <br />BY MY (OUR) SIGNATURE ON THIS APPLICATION, I HEREB Y DECLARE THAT, TO TIE BEST OF MY <br />KNOWLEDGE, THE INFORIMIATION PROVIDED IS TRUE AND ACCURATE. <br />Signature of Applicant <br />Name of Applicant ( typed/printed) <br />Signature of Property Owner <br />Name of Property Owner (typed/printed) .i <br />Address of Owner <br />Phone Number of Owner <br />Date of Submittal <br />Date of Acceptance <br />Planning Case No. <br />Fees Paid: . <br />Application: aD.00 <br />Park Dedication: <br />Deposits: <br />Other: <br />Total: <br />N:tDATAAGROUPSICOM D El /TOR:VIS1D E VAPP. FOR <br />FOR OFFICE USE ONLY <br />Assigned to: <br />6(} -day Li 120-day limit <br />Account e- <br />Check Receipt <br />11913 <br />