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City of Mounds View,MN <br /> Development Application Page 2 <br /> Present Use of Property <br /> ❑ Undeveloped/Vacant ca' 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 r-`--' Z6 / X 4/0 <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. <br /> Signature of Applicant <br /> Name of Applicant(typed/printed) j g24E., fr t er <br /> Signature of Property Owner <br /> Name of Property Owner(typed/printed) ale4.,O (n (/ ,'" <br /> Address of Owner 2,6i I Th Z a rho''^ psi <br /> Phone Number of Owner (W2..) I I ? --((043(=, <br /> ************************************************************************************************ <br /> FOR OFFICE USE ONLY <br /> Date of Submittal - S - 9 <br /> Date of Acceptance ( Assigned to: <br /> Planning Case No. Jr- A - C7 / 60-day Limit 120-day limit <br /> Fees Paid: Account# Check# Receipt# <br /> Application: OS-- 00 ;n 16 "7-- <br /> Park Dedication: <br /> Deposits: <br /> Other: <br /> Total: <br /> N:\DATA\GROUPS\COMDEV\FORMS\DEVAPP-FOR 1/98 <br />