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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 INFORMATTON PROVIDED IS TRUE AND ACCURATE <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 />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 />2.6 - q ' Assigned to: <br />S +- 9 '�60-day Limit "7 - 2 5 -0-,9 120 -day limit I [ - 2 S -9 9 <br />Fees Paid: Account # Check # Receipt # <br />�5"0•0� )4d,3�-7 °� 3030 1 X039—. <br />C �G{ rr GI <br />N:DATA\GROUPS\COMDEV\FORMS\DEVAPP.FOR 1/98 <br />