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. �z -, _ — _ _ _ _ __ <br />_ .: � .� -. _ �; � V-_�.�.� �.. � . _ _ � <br />�r � _ r � � _. �. =_ . . , . - = k --_------��__.__. <br />- --- -j ---= - �--=- -- <br />City of Mounds View, MN . . <br />Development Application � � Pa�e 2 <br />Present Use of Property <br />❑ UndevelopedNacant <br />❑ Duplex/Two F'amily Dwelling <br />❑ Business/Commercial Establishment <br />❑ Other (explain) <br />Property Class�cation <br />Description of Proposai <br />� Single Family Dwelling <br />❑ Multi-family Dwelling <br />o Industrial Establishment <br />❑ Abstract � Torcens <br />2 n �� �a �- ����s��.y � �_� `u� �� � � �� s�b����� <br />BY MY (OUR) SIGN'ATURE ON THIS APPLICATION, I HEREBY DECLARE THAT, TO THE BEST OF MY <br />KNOWLEDGE, THE INFORMATION PRO TRUE AND ACC T.. � <br />� , <br />Signature of Applicant <br />Name of Applicant (typed/printed) _ _ � �--\\L1 � l�< � 0 -�}i�JS� �J <br />Signature of Pro e Owner `�J� �. <br />P rtY I <br />Nazne of Property Owner (typed/printed) � <br />Address of Owner : ��1 � C�1�.0 I/�CA�--� �.� <br />�V1��S U r �-t..� i1�t �j . S'S112 <br />Phone Number of Owner �(^ ! �o �J "� �L`�� b � � �' �! f Z- 1�'� � � b � "�� � � "� � J � <br />****************************************�******************************************************* <br />, � FOR OFEICE USE ONLY . <br />Date of Subinittal �-/ 7- QC� � <br />Date of Acceptance Assigneii to: <br />Planrwig Case No. � (�.i ,/�� Q�J � 60-day Limit 120-day limit <br />• �'ees k'aid: Account # Check # � Receipt # <br />Application: _ -� i 5 i 0 � - � .� 7 � �� c�-�� --� � ' <br />Park Dedication: <br />Deposits: . <br />Other: <br />Total: <br />N:�DATA\GROUPSICOMDEV�FORMS�DEVAPP.POR 1/98 <br />