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� , � �s� r_ ,� ; k. �; f - i � <br />_ �'`--��' �; - c �'ry' - - - � �"�' - =-*� <br />City of Mounds View, MN <br />Development Application Pa�e 2 <br />Present Use of Property <br />❑ Undeveloped/Vacant <br />❑ Duplex/Two Family Dwelling <br />�1 Business/Commercial Establishment <br />❑ Other (explain) <br />❑ Single Family Dwelling <br />❑ Multi-family Dwelling <br />❑ Tndustrial Establishment <br />Property Classification ❑ Abstract ❑ Torrens - <br />Description ofProposal 0 PG,�'C� �p ���-� EgU fF�,� S �`,� /��D /l �'�il'� <br />� 4�y 1�L� (.. T" ..�'S _ i� ,. <br />BY MY (OUR) SIGNATURE ON THIS APPLICATION, I HEREBY DBCLARE THAT, T;O TI� BEST OF MY <br />KNOWLEDGE, THL INFORMATION PROVID IS TRUE � ACCURATE. ^ <br />Signature of Applicant • �.--- �U � ,; �� ��"� � <br />Name of Applicant (typed/printed) .,� (-I- /-� J'►'J ��« 02- .SC1 fl'�� T <br />Signature of Property Owner <br />� Name of Property Owner (typed/printed) <br />Address of Owner <br />Phone Number of Owner <br />��r �_ i'��a,.iZe�� ��.e.�� ; <br />T � ( �Ll /✓/'l.t,JCP .t .I �l � <br />%�2,�,�r.r� �1.:� �/ /r �. , :� � � �'l.: �� �'S' l 1�-�- <br />***�******************************************************************************************** <br />TOR OFFICE US� ONLY <br />Date of Submittal �- 15 -�� � J <br />Date of Acceptance Assigned to: <br />Planning Case No. � 60-day Limit 120-day limit <br />Fees Paid: Account # . Check # <br />Application: .�S � • � � —' <br />Park Dedication: <br />Deposits: <br />Other: <br />Total: <br />Receipt # <br />N:�DATA\GROUPS\COMDEV�FORMS�DEVAPP.FOR I/98 <br />