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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 0 Multi-family Dwelling <br /> ❑ Business/Commercial Establishment 0 Industrial Establishment <br /> ❑ Other(explain) <br /> Property Classification 0 Abstract 0 Torrens <br /> Description of Proposal <br /> Cnt`� �r3 G> > �, it 77-26A) <br /> ,.' TO;i t ✓ .: J <br /> BY MY(OUR)SIGNATURE ON THIS APPLICATION,I HEREBY DECLARE THAT,TO THE BEST OF MY <br /> KNOWLEDGE, THE INFORMATION PROVIDED IS : AND ACC <br /> Signature of Applicant / <br /> Name of Applicant(typed/printed) M&ham 4 /07' <br /> Signature of Property Owner /� <br /> Name of Property Owner(typed/printed) /C-��C Z,- /71",-/- / <br /> Address of Owner <br /> Phone Number of Owner 7(3 <br /> FOR OFFICE USE ONLY <br /> Date of Submittal /- 7- 7 <br /> Date of Acceptance Assigned to: <br /> Planning Case No. 5-`-/C� - (-3 c/ 60-day Limit 120-day limit <br /> Fees Paid: Account# Check# Receipt# <br /> Application: <br /> Park Dedication: <br /> Deposits: <br /> Other: <br /> Total: <br /> N:\DATA\GROUPS\COMDEV\FORMS\DEVAPP.FOR 1/98 <br />