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City of Mounds View, MN <br />Develo s [Went 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 ❑ Abstract <br />x❑ Single Family Dwelling <br />❑ Multi - family Dwelling <br />❑ Industrial Establishment <br />• Torrens <br />Description ofProposal 7 foot addition to west- wall •f <br />22 x 22 foot attached •ara•e° existin• •a <br />280 square foot) to be used as stora•e <br />Pane 2 <br />anr1 <br />BY MY (OUR) SIGNATURE ON THIS APPLICATION, t HEREBY DECLARE THAT, TO THE BEST OF MY <br />. .r:. %. <br />an <br />KNOWLEDGE, THE INFORMATION PROVIDED IS TRUE AND ACCURATE. <br />Signature of Applicant :. <br />Name of Applicant (typed/printed) <br />Signature of Property Owner.. -... <br />• Name of Property Owrier•(typed/pr°inted) <br />Address of owxxei - . <br />,Leonard Medrud <br />Arthur -L_ J <br />„'Leonard_'1'tedrii <br />• f�k`J?3�v!�ff� fig yE = '(i <br />20-8.5 .Oakwood Drive <br />"Jordan-- <br />Phone Number of Owner <br />Date of Submittal <br />Date of Acceptance <br />Planning Case No. <br />Mounds View, MN 55112 <br />784 -4275 -(h) 879- 5332 (w) <br />FOR OFFICE USE ONLY <br />-/3 °)Q•. <br />Fees Paid_ <br />Application: <br />Park Dedication: <br />Deposits: <br />Other <br />Total: <br />x :ID ATA\G RO UP S IC O M D E V 1FO RMSI D E V AP P. FO R <br />60-day Limit <br />Account 4 <br />Check # <br />Assigned to: <br />120 -day limit <br />Receipt # <br />,i73 9 <br />L/98 <br />