Laserfiche WebLink
City of Mounds View, MN <br />Present Use of Property <br />❑ Undeveloped/Vacant <br />❑ Duplex/Two Family Dwelling <br />Business/Commercial Establishment <br />❑ Other (explain) <br />Property Classification ❑ Abstract <br />Description of Proposal <br />❑ Single Family Dwelling <br />❑ Multi -family Dwelling <br />❑ Industrial Establishment <br />❑ Torrens <br />BY MY (OUR) SIGNATURE ON THIS APPLICATION, I BY DECLARETHAT, TO THE BEST OF MY <br />KNOWLEDGE, THE INFORMATION PROV�D IS TptOE ` ) <br />Signature of Applicant <br />Name of Applicant (typed/printed) <br />Signature of Property Owner <br />Name of Property Owner (typed/printed) <br />Address of Owner <br />Phone Number of Owner <br />************************************************************************************************ <br />FOR OFFICE USE ONLY <br />Date of Submittal C, Assigned <br />� � 1 ' Assi ed to: <br />Date of Acceptance L �' c 120 -day limit <br />d–, (ci <br />Planning Case No. d tk—of 60 -day Limit Y <br />Application: <br />Park Dedication: <br />Deposits: <br />Other: <br />Total: <br />Check # Receipt # <br />Account # <br />Fees Paid: <br />0,00 l o R -7 of <br />2 <br />1198 <br />N:\DATA\GROUPS\COMDEV\FO RIviS\DEV APP. FOR <br />