Laserfiche WebLink
;. ; , ;.. ;. _ <br />City of i�/Iounds Vierw+, [�IN <br />Develo�ment Application Page 2 <br />Present Use of Property ��/ <br />❑ UndevelopedNacant �f' Single Family Dwe(ling `� <br />❑ Duple:c/Two Family Dwelling a Mutti-family Dweilin� <br />❑ Business/Commerciai Establisi�ment ❑ industrial Establishmeni <br />❑ Other (e:cplain) <br />Property Classification ❑ Abstract ❑ Torrens <br />Description of Proposal C�r;���'.<<i C � . • � .��,�,:il % • � �; :,} %'� ,°; %� ' . �� �' =�-<�y ..: �<,.�.' _, . - <br />/�(�- �z :�-T r` � r„�r.:� d r��J (.y ,'f � G r-j; <br />BY MY {OUR) SIGNATURE ON THIS Al'PLICATION, I HEREBY DECLARE THAT, TO TF� BEST OF MY <br />KNOWL�DGE, TF� INFURMATIUN PRU VIDED IS T AND ACCU E. <br />Signacure of Applicant �`� <br />Name ot Applicant (typed/printed) rC�ff�iE'� �e�"/��i <br />Siguacure of Property Owner <br />Name o�Property Owner (typedJprinted) <br />Address of Owner <br />Phone Number of Owner <br />_����� �,. <br />4.� <br />"`-�� <br />�G��,��'��a i�i�� - <br />�/D��D�cJ� �1-c;� dr9-r� <br />s����u �.�- �GZe/ f�lx� <br />���� ��� � <br />��**����#���**��*��m�**��*��*�a�:��*���m*��*�**���*�x��*�*m**x��*�m�x�x���*����x��������**�����xx�������* <br />FOR OFFICE USE ONL,Y <br />Daee of Submittal i—`7 — 9 i <br />Date ofAcceptanca Assigned to: <br />Planning Case No, 5"LI (� - �� % 60-day Lsmit 12�-day limit <br />Fees Paid: Account # Check # <br />ApplicaCion: <br />Park Dedication: <br />Deposits: — <br />Other: <br />Total: <br />�s! -r•,-iLt <br />Receipt # <br />�J;1Br�TA1GROUPSICOMDEV�FORlv(S1DEVr1PP.P'OR l/98 <br />;:;;�'; <br />- �::::-.:1 <br />