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City of Mounds View, MN <br /> Development Application Page 2 <br /> Present Use of Property <br /> Eq Undeveloped/Vacant ❑ Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling ❑ Multi-family Dwelling <br /> ❑ Business/Commercial Establishment ❑ Industrial Establishment <br /> C Other(explain) <br /> Property Classification 6A Abstract ❑ Torrens <br /> Description of Proposal L ) A n`r' 't"n M A k E • ,t} '7 A L c e ri ' ' AE S o ct f <br /> L qlK Gree. P 1" : it a • — r <br /> a35t . P bepy''h <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 /> 1 Signature of Applicant I . _ ,1 . 1 .4* • _ _ S/ <br /> Name of Applicant(typed/printed) F k NES/ J. h4Ar l P L s O W A2,L ti :J 0. 4 n l E L S <br /> Irk a. /1J <br /> Signature of Property Owner II, , . -_ - V . '/. .. .. .._ ��� .��/i <br /> Name of Property Owner(typed/printed) '2 ALES 7-¢-HARLFNi 1_2•¢11l iE L_' 0 �' '`' <br /> Address of Owner = ?y Lj I C 12.L E ll!WO Ola 1 1 A-• <br /> ,t <br /> x <br /> Phone Number of Owner 6/(?=7<Q'y 7 4 � <br /> ************************************************************************************************ <br /> FOR OFFICE USE ONLY <br /> Date of Submittal NOV i 0) 14'1 g <br /> Date of Acceptance AEG "19 , / 9 9 k Assigned to: ti ef.4.440A. <br /> Planning Case No. 5 Li 0 — q8 60-day Limit a- 1 69-98 120-day limit z4- I-;-a& <br /> Fees Paid: Account# Check# Receipt# <br /> Application: 200.00 <br /> Park Dedication: <br /> Deposits: <br /> Other: <br /> Total: <br /> N:IDATAIGROUPS\COMDEV\FORMIS1DEVAPP.FOR 1/98 <br />