Laserfiche WebLink
City of Mounds View, MN <br />Develo ment A lication <br />Present Use of Property <br />o • Undeveloped/Vacant . Single Family Dwelling <br />Duplex/1'w° Family Dwelling ❑ <br />Multi-family Dwelling G Business/Commercial Establishment 0 Indus trial <br />Establishment • Other (explain) <br />Property Classification <br />Description ofP pposal <br />Abstract <br />Q Torrens <br />C461C <br />Page 7 <br />BY MY (OUR) SIGNATURE ON THIS APPLICATION, I HEREBY DECLARE THAT, TO THE BEST OF MY <br />KNOWLEDGE, THE INFORMATION PROVIDED IS TRUE A .,CURATE. <br />Signature of Applicant <br />Name of Applicant (typed/printed) <br />Signature of Property Owner <br />Name of Property Owner ( typed/printed) 'C 4. -3. ---rasios <br />Address of Owner /// eev:,6 -- it% <br />'Phone Number of Owner j3 32 - <br />s <br />* * * **, * * ** * *`6 * *1 * * * * *, ***, p * * * * * * * * * * ** **** * * * **** *t4* * * ** M****** * *** * * * ** * * ***** * * **** ** ******* <br />Date of Submittal <br />Date of Acceptance <br />Planning Case No, <br />Application: <br />Park Dedication: <br />Deposits: <br />Other: <br />Total: <br />Fees Paid: <br />4/ O D <br />FOR OFFICE USE ONLY <br />N:IDATA\GROUPS\CO,ifDt:VIFORd 1S1DEV.APP.FOR <br />Assigned to: <br />60-day Limit 120-day limit <br />Account # <br />/D0 -3z0 <br />Check # <br />5°,71.0 /rs <br />Receipt # <br />1/98 <br />