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' . _ .! . __ . ' I. � . . . .- .. _ . . . . .. - . . <br />., <br />. .t'�i . _ - , , . . : _ _ <br />�_._.t_.>:_�s .-._.- -. .. -v.�'�-.�+,� � '_ "`.i. �_ _ � '_"'" '�_�--d..- _�.. .—_=._" " � <br />� <br />City of t1�lounds View, MN � <br />Development Application Page 2 <br />i <br />Present Use of Property <br />❑ UndevelopedNacant � Single Family Dwelling <br />❑ Duple:c/Two Family Dwelling ❑ Multi-farnily Dwelling <br />❑ Business/Commercial Establishment o Industrial Establislunent <br />❑ Other (e;cplain) <br />Properiy Class�cation � Abstract ❑ Torrens <br />�- i • • • •.• . �-��• •� • - .. �- -•- • - • _.- _.. ... <br />•�• •■ •• �- •- -•- . - -. ■ �- . ••_ • <br />. � • _ • ! - � • . - • - - - . � - • � � • - <br />BY MY (OUR) SIGNAI`URE ON THIS APPT.ICATION, I HEREBY DECLARE THAT, TO TI� BEST OF MY <br />KNOWLEDGE, THE INFURMATIUN PRUVIDED I5 TRUE AND ACCURATE. <br />Signature of Applicant <br />Name of Applicant (typed/printed) <br />Signature of Property Owner <br />Name of Property Owner (typed/printed) <br />Address of Owner <br />Phone Number of Owner <br />�I��.u. _u• - <br />Thc�ma c �i'amr�f 1 r� <br />8"� w��r�r�a 1 e Llxive <br />Moundsvi��t, MN 551 1 � <br />(612) 780-9022'(H) (fi�?) A�A_7RS4 Ext. 228 (W) <br />************************************************************************************************ <br />FOR OFFICE USE ONLY � <br />Date of Submittal � ' �7 - '"�: .) <br />Da[e of Acceptance Assigned to: <br />Plaruung Case No. cu.<�� ���`' 60-day Limit 120-day limit <br />Fees Paid: Account # ry Check # Receipt # <br />Application: �}" 7 5 ) 3 O � � 7 -1 �`�.� 1D �f �'9 ��r.� <br />Park Dedication: <br />Deposits: <br />Other: <br />Total: <br />N:�DATAIGRUUPS\COtifDEV\['ORIvtS\DEV,�PP.FOR 1/98 <br />