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05/14/99 15:41 M 612 784 3462 CITY OF HV/9003/005 <br />City of Mounds View, MN Page 2 <br />Development AeR ation <br />Present Use of Property <br />A Undeveloped/vacant o Single Fwnily Dwelling <br />G Duplex/Two Family Dwelling G Multi.family Dwelling <br />o Business/Commercial Establishment 0 Industrial Establishment <br />C) Other (explain) <br />Property Classification C Abstract A Terrens <br />Description of Proposal W C-2 S-Mut'r 6y-� CTF 4- Lt"J ' J NTAL <br />BY MY (OUR) SIGNATURE ON THIS APPLICATION, 11�RESY DECLARE THAT, TO THE BEST OF MY <br />KNOWLEDGE. THE INFORMATION PROVIDED IS 'TRUE AND ACCURATE. <br />Signature of Applicant <br />Narne of Applicant (typed/printed) -Mich a e <br />Sipature of Property Owner <br />Name ofproperty Owner (typed/printed) e ` <br />Address of Owner <br />Phone Number of Owner fv Z 315 " 315 Z <br />*��w*r,w****s*»�r+e,.w*ee+a��►a��r*wM****�.******��**:**r***reg***»****�,r�r*w*�*****��**,w}�***�**+r****e <br />FOR OFFICE USE ONLY <br />Date of Submittal _ S ' a- 4 —0i °l <br />Assigned to:Date of Acceptance <br />60 -da Limit i20 -day Hadt <br />Planning Case No. y <br />Fm paid; Account # <br />Application j„' ab <br />Park Dedication: <br />Deposits: <br />Other: - <br />Total: - <br />N:\DAT?,\GROUP%CONiUE WOR.M=EVAPP. FOR <br />Check -4 Receipt # <br />------------ <br />