Laserfiche WebLink
City of Mounds View, MN • <br />Develo ment A lication l? �e ? <br />Present Use of Property <br />❑ Undeveloped/Vacant ❑ Single Family Dwelling <br />❑ <br />Duplex/Two Family Dwelling 0 Multi - family Dwelling <br />Business/Commercial Establishment ❑ Industrial Establishment <br />❑ Other (explain) <br />Property Classification <br />Description of Proposal <br />0 Abstract <br />❑ Torrens <br />BY MY (OUR) SIGNATURE ON THIS APPLICATION, I HEREBY DECLARE THAT, TO THE BE `. OF MY <br />KNOWLEDGE, THE INFORMATION PRO V }ED IS TRUE AND ACC ;11i,'TE. <br />Signature of Applicant <br />Name of Applicant (typed/printed) b / IEL L. <br />L-Z <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 Assigned to: <br />Planning Case No. r - n1 �b 60-dav Limit l 20-day limit <br />L. kV( <br />lArAPPv Ad <br />27-00 ... iU <br />rttiok- t.v050,60 MK) <br />73So <br />Gar( <br />FOR OFFICE USE ONLY <br />Application: <br />Park Dedication: <br />Deposits: <br />Other. <br />Total: <br />Fees Paid: <br />p e 0 <br />V:'.DATAAGROUPS1COMDEV\FORJ S \DEV,-1PP.FOR <br />Account # <br />�Ot, -D3 <br />Check <br />3as)9 <br />Receipt # <br />1198 <br />