Laserfiche WebLink
City of Mounds View, MN <br />Developrnent Application Pa�e Z <br />Present Use of Property <br />o UndevelopedNacant � Single Family Dwelling <br />❑ Duplex/Two Family Dwelling o Multi-family Dwelling <br />❑ Business/Commercial Establishment ❑ Industrial Establishment <br />❑ Other (explain) <br />Property Classification a Abstract <br />Description of Proposal f,v (; W p i.1 <br />_C �= cr 1 o rv e �� F F l� r� Gi� <br />❑ Torrens <br />C.I K� � � � i� i l� j'� - v_ <br />o hl � r�� 1C m U i-f c� U�C E� c� n/ T/-F G' S 1 i.� �,. `� l-� <br />!� � c� y � S c� •�' �� t/�l'f� Fo�l-o4J <br />��� ,�; �— �r'' � c' G �-io� s � r-1-� � �f 13 I° ► nJ �, rtl �- T--��-- �= r c- <br />/�' ��a 1�. �.v;�z� <br />BY MY (OUR) SIGNA'1 URE ON THIS APPLICATION, I I-IEREBY DECLARE THAT, TO T"HE BEST OF MY <br />KNOWLEDGE, THE INFOI2MATION PROVIDED IS TRUE AND ACCURATE. <br />Signature of Applicant i'�'-� �9� <br />Name of Applicant (typed/printed) ��E�U � Y J.i � v 1'J �s <br />Signature ofProperty Owner �.��d-A �� <br />�/C <br />Narue of Property Owner (typed/printed) U i-`� �--� d 1eY ��C U%� �J� <br />Address of bwner ��J�CI O`,,�(� UC L l� � I"J ff'-b <br />� a � n� � s' U i��,J rn aJ r�.r / J Z <br />Phone Nucnber of Owner �� 6"� 63 U-(� <br />/ <br />G� <br />*********************�x************�*********************************************************�*** <br />FOR OFFIC� USE ONLY <br />Date of Submittal `- J�� � Z C c� O <br />Date of Acceptance :-3 �( CG Assigned to: <br />Planning Case No. ��-1 J C� � G� J--� 60-day Limit 120-day limi[ <br />Fees Paid: Account # Check #. Receip <br />A lication_ L' � eG � �D <br />PP � � OD t,/(Oa'� Cc�:1 � <br />Park Dedication: <br />Deposits: <br />Other: <br />Total: _( C� Q `' `: <br />N:IDATA\GROUPS\COMDGV�FORMS�DG VAPP. FOR <br />1/98 <br />