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05/04.98 11:36 FAX 812 784 3462 <br />CITY OF <br />TJ 005 <br />City of ,Mounds View, MN <br />Develo tricot A P� 2 <br />Presort Use of Property <br />Unclzveloped/Vlicanat g Single Family Dwelling <br />a DhtplcclTwo Family Dwelling t? Multi - family Dwelling <br />a Business/Commercial Establishment a Industrial Fsrahiisbment <br />a Other (explain) <br />Property Classification cX Abstract a Torrens <br />Dt*cdPionofFroPosni o existin buildin and additional parkin . <br />BY MY (OUR) SIGNATURE ON THIS APPLICATION. <br />KNOWLEDGE, THE INFORMATION PROVIDED IS <br />Signature of Applicant <br />Name of Applicatu (typed/primed) <br />N .� <br />:.41#1114 dr. <br />THAT, TO THE BEST OF MY <br />Signatar ofPropertyOwner Same as above <br />Name of Property Owner (typed/printed) -- ing Co . 11 LLC <br />Address of Owner . ___ . - ...8400. C,ora1 <br />- _ _._ Slane," MN 55449" <br />Phone Number of Owner - 7 8 0 -15 00 <br />eilZCILL <br />*Wag ■ tli s �* + maw* ratite to ga <br />Data of Submittal <br />Date of Acceptance <br />Planning Case No. <br />Application: <br />Park Dedication <br />Deposits: <br />r: <br />Otbe <br />Total: <br />N:TIADA»GROUPSICOM1E AFORMS O VAPPFCR <br />FOR OFFICE USE ONLY <br />Fees Paid <br />60-day Limit <br />Acaauut# <br />Assigner[ to: <br />120 -day limit <br />Check # <br />t# <br />1198 <br />