Laserfiche WebLink
City of Mounds View, MN <br />Development Application PaQe 2 <br />Present Use of Property <br />❑ UndevelopedNacant <br />� Duplex/Two Family Dwelling <br />❑ Business/Commercial Establishment <br />❑ Other (explain) <br />1�( Single Family Dwelling <br />❑ Multi-family Dwelling <br />❑ Industrial Establishment <br />Property Class�cation ❑ Abstract ❑ Torrens <br />Description of Proposal <br />BY MY (OUR) SIGNATURE ON THIS APPLICATION, I HEREBY DECLARE THAT, TO THE BEST OF MY <br />KNOWLEDGE, THE INFORMATION PROVIDED IS TRUE AND ACCURATE. h � <br />Signature of Applicant ��-� �`i�`f�l' ],�- � GLt' <br />Name of Applicant (typed/printed) C�'� � � c C S � <br />Signature of Properly Oumer <br />Name of Property Owner (typed/printed) <br />Address of Owner <br />Phone Number of Owner <br />i � � �tiL �--�}��`�� ��, � - <br />� <br />*************************************************************************�********************** <br />FOR OFTICE USE ONLY <br />Date of Submittal .'f - c? 5-� , <br />Date of Acceptance • Assigned to: <br />1'laruung Case No. v�q � o— a n J 60-day Limit 120-day limit <br />Fees Paid: Account # Check # Receipt # <br />Application: �}, l 8� � 0 Q.� ��_ � Cr 5 U__ �5 �C7 <br />Park Dedication: <br />Deposits: <br />Other: <br />Total: <br />N:IDATA\GROUPS\COMAEV�FORMS�DEVAPP.FOR <br />1/98 <br />