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j - - i �_.-��-- - i '-- _ <br />� ��. - - - -- -_ '��_ �I � � <br />City of Mounds View, MN -- — — <br />Development Application Pa�e 2 <br />Present Use of Property , <br />❑ Undeveloped/Vacant <br />o Duplex/'Two Family Dwelling <br />e� Business/Commercial Establishment <br />o Other (explain) <br />Properiy Class�cation ❑ <br />� <br />Abstract <br />■ <br />� <br />Single Family Dwelling <br />Multi-family Dwelling <br />Industrial Establishment <br />Torrens <br />. ., n � ( _ <br />BY MY (OUR) SIGNATURE ON THIS APPLICATION, T HEREBY DECLARE THAT, TO THE BEST OF MY <br />KNOWLEDGE, THE 1NFORMATION PROVIDED IS TRUE ACCURATE. <br />Signatvre of Applicant <br />Name of Applicant (typed/printed) �j2.v C,�. �. �-PrS S�1..(3 l� <br />Signature of Properly Owner <br />Name of Property Owner (typed/printed) � L° , � `1Z� �Z..1—1 � , � L.C, <br />Address of Owner � U o1- �j ��2� O O� ��. �_ <br />�rn��� , r� ���a� <br />Phone Number of Owner ��� -' q aq "� � 1p � g <br />**************************************************�****************************************�**** <br />/ F(�R OFFICE USE ONLY <br />Date of Submittal �f �- � �^:� U <br />Date of Acceptance Assigned to: <br />Planning Case No. �-�t c� v—�' � l;� 60-day Limit 120-day limit <br />Fees _�i� j�; � Account #� Checl�#� ;� Receipt # <br />Application: j 7 �� .�,y-� � � � %('� j'�,7 <br />Park Dedication: ' <br />Deposits: <br />Other: <br />Total: <br />N:IDATA\GROUPS\COMDEV�GORMS�DEVAPP.POR 1/98 <br />