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1 :.: <br />City of tVlounds Viev�+, IVII\( <br />Development_Applicafior� �a�e 2 <br />Presenk Use of Properiy <br />o Undeveloped/Vacant � Single Faznily Dwelling ` i <br />� Duplex/Two Famiiy Dweliing � Multi-family Dwellang , <br />Q Business/Commercial Establishme�t ❑ Industrial Estabtishme,nt <br />❑ Other (eYplain) <br />Property Classification r Abs�ract ❑ Torrens <br />BY MY (O[JF�) SIGNA'Si1�2E ON THIS APPLICATION, I HEREBY DECLARE THAT, TO THE BEST OF MY <br />KNOWLEDGE, THE INFURMATIUN PRUVIDED iS TRllE AND ACCURATE. <br />Signa[ure of Applicane <br />Name �f Applicant (typed/printed) <br />Signature ofProperty Owner <br />Name of Property Owner (typed/printed} <br />Address of Owner <br />� C i ��h <br />31, - �1.an .0 a d� <br />�� rf i'' <br />.�\,l��l�,����.'•. � — .-. <br />/� � �� o� <br />�� �� ' _ _ <br />�"�2 . V r�1 1?.�2�t.c.�_ <br />_ Y� <br />► r3 o G+,.4` ' V�-�.J° t�'.f ` ��.� S"` c?� l( <br />Phone Number of Owner (� � �� " 3 �( �J �( �„ y )�� � l .^ � 3 � 3'�'S � <br />,��'l ,�u2 ��v � �.��'—� <br />,-, �� <br />, � �c,� ��d � s J ' <br />�'9'�'� ij � i��C �� . ��."� <br />��*mx�**��*�����**����*���**m�xm��+��**��*�x���������*�*��*��������*��x �**�*��*�*�� �m*�����**��:�*�� <br />FOit OF�'ICE U3E OI�d%,1' <br />DAte of Submittal ' _� / � <br />Date of Accep€ance Assigned to: _ <br />Planni.axg Case No. ,�,� �.�� 60-day Limit E 20-day lirnit _ <br />—�--- <br />Fees Paid: Account #� Check # <br />Application: .�� � ° �� id� � `-Fi6� � /�, _ <br />�-----,. _..__., - <br />Park Dedication: <br />Deposits: <br />Other: <br />T�tal: <br />N:1DriTA1GROUPSICOMDE V1FORlviSSDE VrIPP.FOR <br />�R ceipt # <br />`� ��`� <br />1/98 <br />