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City of Mounds View, MN • • <br />Development Application Page Z <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 />Description of Proposal <br />BY MY (OUR) SIGNATURE ON THIS APPLICATION, I HEREBY DECLARE THAT, TO THE BEST OF MY <br />KNOWLEDGE, THE INFORMATION PROVIDED IS TRUE AND ACCURATE. - n <br />Signature of Applicant'` <br />Name of Applicant (typed/printed) <br />Signature of Property Owner <br />Name of Property Owner (typed/printed) zme <br />Address of Owner <br />Phone Number of Owner ("7fa 2O — -) V 7 <br />************************************************************************************************ <br />FOR OFFICE USE ONLY <br />Date of Submittal <br />Date of Acceptance C_0 - 1 - � `'1 Assigned to: <br />Planning Case No. —cC 60 -day Limit 2� 9 � 120 -day limit �( Zt `) `Z <br />Application: <br />Park Dedication: <br />Deposits: <br />Other: <br />Total: <br />Fees Paid: _01�_ Account # Chegk # Receipt # <br />7_5106 ` <br />N:\DATA\GROUPS\COMDEV\FORMS\DEVAPP.FOR 1/98 <br />