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City of Mounds View, MN . . <br />Develo ment A lica.tion Pa e 2 <br />PresentUse o#'Properiy <br />❑ UndevelopedNacant <br />❑ Duplex/Two Family Dwelling <br />❑ Busine§s/Commercial Establishment <br />❑ O.ther (explain) <br />o , . Single Family Dwelling <br />❑ Multi-family Dwelling <br />❑ Industrial Establishment <br />Property Classification t7 Abstract ❑ Torcens � <br />Description ofProposal O 1/�l�' Siz�.� �r�'�ci r' �(/� U'�� �S/ S' f'�j'-�f <br />=: - - j - . _ - ..- _ ,• �,�. <br />BY MY (OUR) SIGNATURE ON THIS APPLICATION, T HEREBY DECLARE THAT, TO THE BEST OF MY <br />KNOWLEDGE, THE.INFORMATION PRO VIDED TS TRUE AND ,ACCURATE. � � <br />: .. . . � <br />. Signature ofApplicant . ��_1��i/��� ��Q� <br />Name of Applicant (typed/printed) � /�-p��'� � . ���5' f '� <br />Signature of Properly Owner :i ��,�p,� (�, ������ <br />Name of Property Owner (typed/printed) _ <br />Address of Owner <br />Phone Number of Owner <br />���z- 7�0 � � �� <br />**********************�****************+*******************�************************************ <br />� . • " FOR OFFICE USE ONLY � ' <br />Date of Submittal , -. !� ,- �� , c��. � : � <br />Date of Acceptance � ' Assigneii to: � <br />Planning Case No. C.�� �} :�- .� :f ' i 60-day Limit 120-day limit <br />• Fees Paid: . Account # i Check # Receipt # <br />Application: _��..,� `�� 1!'� t� ��'? �I (\'� o�.i�/ Su.3c�, <br />Park Dedication: • <br />Deposits: . � <br />� . <br />Other: <br />Total: <br />N:�DATA\GROUPSICOMDEV�FORMS�DE VAPP.FOR <br />1/98 <br />