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,. <br />Cify ot' Mounds View, ll�I� <br />lieveloprs�ent ,A�plication __ , �� e � <br />Present Use of Prope�rty <br />4 Undeveloped/Vacant Singte Family Dwelling <br />❑ 17uple:c/°I'wo k'amily Dwelling ❑ Muiti-faenily Dweilin� <br />❑ Business/Commercial BstabEishment n Industrial Estabiishm�r►t <br />a Other (exglain) <br />Property Classification <br />Descrip[ion of Propossi <br />Q Abstract Q Torre�s <br />��S / /�-�GJ/�� � � <br />�. /, <br />BY MY (OUR} SIGNATURE ON THIS APPLICATION, I HEREBY DECLARE THAT, TO '1� BEST OF M"Y <br />ICNOWLEDGE, THE 1�NF�RMATION PRUVIDED IS TRC1� ,�I�TD ACCURAiE � <br />Signature of Appticant <br />Name of Applicant (typed/pcinted) <br />Signature of Praperty Owner <br />Name of Property Owner {typed/printed) <br />Address of Ownc�°. <br />�_� <br />� <br />Phone Number af Owner <br />�� � ° � � � <br />*��x�#**�:�����m����a*��*����*�x*�x�������*�u**�*�x��*�����:���������:u��:��������*#������:��x������m������� <br />�'OI3 OF�'ICE US� ONLY <br />Date of Submittal �� � "' � '- <br />Date of Acceptance 1°° �— � � Assigned to: �� <br />Piannirig Case No. _ �; 4°1—°i� 60-day Liznit 3��i-�t�s 120-day limit 5�� �� �`� <br />Fees Paid: � Account # <br />Application: _�_ � `�'"� 3�� � <br />P�rk Dedication: <br />D�posits: <br />Other: <br />Tocal: <br />N:�DATAIGRQUPSICDI�iDEV��Oi21vfS�DE V �PP. FOR <br />Check..# Receipt # <br />Ll 4 � � �i � <br />1/98 <br />