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City of Mounds View, MN l <br />Develo anent A lication Pa e <br />Present Use of Property <br />• Undeveloped/Vacant <br />O Duplex/Two Family Dwelling <br />O Business/Commercial Establishment <br />• Other (explain) <br />Property Classification X Abstract <br />Descrip on of Proposal .7.-o . <br />Single Family Dwelling <br />O Multi - family Dwelling <br />• Industrial. Establishment <br />Torrens <br />BY MY (OUR) SIGNATURE ON THIS APPLICATION, I HEREBY DECLARE THAT, TO THE BEST OF MY <br />KNOWLEDGE, THE INFORMATION PRO VIDED'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) <br />Address of Owner <br />Phone Number of Owner <br />Date of Submittal <br />Date of Acceptance <br />Planning Case No. <br />n 112 li,417 <br />/ ,,0n- ira /1 Aye, <br />t2zialS. , M7 r,(11.1 <br />FOR ICE USE ONLY <br />SS34 <br />Fees Paid: <br />Application: 1 0 c,o0 <br />Park Dedication: _ <br />Deposits: <br />Other: <br />...... .. ................. <br />Total: <br />N_1DATA\ GROUPS \COMDEV1FOR,ti1S1DEVAPP.FOR <br />6O-dav Limit <br />Account # <br />toJ-3 <br />Check # <br />Assigned to: <br />124 -day limit <br />Receipt # <br />1/98 <br />