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City of Mounds View, MN <br />Development Application Page 2 <br />Present Use of Property <br />❑ Undeveloped/Vacant Single Family Dwelling <br />❑ Duplex/Two Family Dwelling ❑ Multi -family Dwelling <br />❑ Business/Commercial Establishment ❑ Industrial Establishment <br />❑ Other (explain) <br />Property Classification ❑ Abstract ❑ Torrens <br />BY MY (OUR) SIGNATURE ON THIS APPLICATION, I HEREBY DECLARE THAT, TO THE BEST OF MY <br />KNOWLEDGE, THE INFORMATION PROVIDED IS TRUE A,ND ACCURATE. <br />Signature of Applicant <br />Name of Applicant (typed/printed)�— <br />Signature of Property Owner <br />Name of Property Owner (typed/printed) 1 �-+ _ 2 Q re <br />Address of Owner <br />Phone Number of Owner <br />************************************************************************************************ <br />Date of Submittal <br />Date of Acceptance <br />Planning Case No. <br />Application: <br />Park Dedication: <br />Deposits: <br />Other: <br />Total: <br />FOR OFFICE USE ONLY <br />' <br />j Assigned to: <br />60-day Limit 120-day limit <br />Fees Pajd OD Account # Check # Rem eipt <br />N:\DATA\GROUPS\COMDEV\FORMS\DEVAPP.FOR <br />1/98 <br />