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r <br />r <br />City of Mounds View, MN <br />Development Application Pa�e 2 <br />Present Use of Property <br />❑ UndevelopedNacant <br />❑ Duplex/Two Family Dwelling <br />� Business/Commercial Establishment <br />❑ Other (explain) <br />❑ Single Family Dwelling <br />❑ Multi-family Dwelling <br />o Industrial Establishment <br />Property Class�cation o Abstract ❑ Torrens <br />BY MY (OUR) SIGNATi1RE ON THIS AP�LICATION, I HEREBY DECLARE THAT, TO TI-� BEST OF MY <br />KNOWLEDGE, THE TNFORMATIONPROVIDED.J.S-''PR� AND ACCURATE. <br />Signature of Applicant <br />Name of Applicant (typed/printed) <br />Signature of Properly Owner <br />Name of Property Owner (typed/printed) <br />Address of Owner <br />Phone Number of Owner <br />/ii�,l� ��/1 ��..�t� � � C�� <br />S ySCd �av�C S�rv;ces ot %�1;r���'SV%�, -Z�c, <br />��� o Co u� fy ����1 T <br />� (� wv� tCS �r �' u! r �f � ✓�-S �,S /`Z <br />G l z)��.� 73� 2 <br />� <br />� ��' <br />************************************************************************************************ <br />FOR OFFICE USE ONLY <br />Date of Submittal a-/ S- a DOU ; <br />Date of Acceptance Assigned to: <br />Planning Case No. //,( O!?o� � 60-day Limit 120-day limit <br />Fees Paid: Account # Check # Receipt # <br />Application: • 2S0 ��o-.3a��1' /� �%3 S`S�D�� <br />Park Dedication: <br />Deposits: — - — — - --- <br />Other: <br />Total: <br />N:IDATA\GROUPS\COMDEV�FORMS�DEVAPP.FOR ��98 <br />