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.,_ '_. ___�� __ - - - �� � _- .i�� �__,�, �.� '_ ��'_'�. � �.q'__..��:__--.r "'.�s . �_-� _�____--� y-= .� -,. f . '.�_' ' " ' - . � �� <br />City of Mounds View, MN <br />Development Application ' Page 2 <br />Present Use of Property <br />❑ UndevelopedNacant <br />❑ Duplex/Two Family Dwelling <br />❑ Business/Commercial Establishment <br />❑ Other (explain) <br />Property Classification <br />Description of Propos`al <br />`} -�� ke ci.c� <br />��% i 1� r� �l P a2'� � <br />� <br />. <br />❑ Abstract ❑ <br />�To S�� r� rn,�! <br />Single Family Dwelling <br />Multi-family Dwelling <br />Industrial Establishment <br />Torrens <br />2 ��wy„�l�;�s �- 3 �o��-�� �1 <br />L <br />BY MY (OUR) SIGNATURE ON THIS APPLICATION, I HEREBY DECLARE THAT, TO THE BEST OF MY <br />KNOWLEDGE, Tf-IE INPORIviATION PROVIDED S TRLTE AND ACCURATE. <br />Signature of Applicant <br />' 1�� <br />Name of Applicant (typed/printed) S �' -P — t <br />Signature of Property Owner <br />Name of Properly Owner (typed/printed) . <br />Address of Owner <br />Phone Number of Owner <br />��-��_ <br />80 > �' � y� �-� �e � . <br />�bvn�.S I��iJ /'✓l� SS/fZ <br />(� � Z ��� �� ��2 � <br />************************************************************************************************ <br />FOR OFTICE USE ONLY <br />Date of Submittal ?�� 1 5� O � <br />Date of Acceptance Assigned to: <br />Plannu�g Case No. 60-day Limit l 20-day limit <br />Pees Paid: Account # Check # Receipt�/�, <br />Application: � ,� - 6 D 1(? � � �� % aj �� % 3 � v � (U <br />Park Dedication: <br />Deposits: <br />Other: <br />Total: <br />N:�DATA\GROUPS\COMDEV�FORMS�DEVAPP.FOR 1l98 <br />