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Address O� 7 8 �o an ¢ /2y� N Z Date <br />Owner O��ers;c,% Lk7•r�gn C9 r�i )guilder _S-'L�ns AN.$ <br />]grief Description of ]Proposed Construction1 �S0. 41N SAM. G cLt + slj '7 <br />;4 W, eoc4i.oj or'� -Lr G4rr4n� s�h Building] Permit No. <br />♦ Show all existing buildings/structures located on the property <br />4 Show all proposed construction <br />♦ Indicate distance from proposed structure(s) to all property lines <br />A Indicate distance of proposed structure(s) to existing structures <br />0 Show sheet location(s) and name(s) <br />CALL It I I BEFORE YOU DIG71 IT'S FREE, AND IT'S THE LAW! <br />City of Mounds View Community Development Department ^-yermitsOci.mounds-view.mmus <br />2401 County Road 10, Mounds View, MN 55112 4- (763) 717-4070, Fax (763) 717-4019 <br />