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City of Mounds View,MN <br /> Development Application Page 2 <br /> Present Use of Property <br /> ❑ Undeveloped/Vacant 0 Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling 0 Multi-family Dwelling <br /> ❑ Business/Commercial Establishment 0 Industrial Establishment <br /> gc ' Other(explain) <br /> Church <br /> • <br /> • <br /> Property Classification ❑ Abstract ❑ Torrens <br /> Description of Proposal Request permission to add office sBace and ciass-rorins to nrldLtnn <br /> to r-1,..- ' .. _ .. - ..._ .. • •• -- — ' _ Y.— •I. . —.' — — . —emm. ' s <br /> Of develQp nevi Pw/si"te p1 an fePG fuer t1,r1fiP'pnri-i nnR of them prap01-1-y that are <br /> BY MY(OUR)SIGNATURE ON THIS APPLICATION,I HEREBY DECLARE THAT,TO THE BEST OF MY <br /> KNOWLEDGE,THE INFORMATION PRO ED IS TRUE AND CCURATE. <br /> Signature of Applicant <br /> Name of Applicant(typed/printed) Carey Lyons—) <br /> Signature of Property Owner <br /> Name of Property Owner(typed/printed) Sunrise United Methodist Church <br /> Address of Owner 7687 Long Lake Road <br /> Mounds View, MN 55112 <br /> Phone Number of Owner 786-4926 <br /> ************************************************************************************************ <br /> FOR OFFICE USE ONLY <br /> Date of Submittal /1 ' A -9 7 <br /> Date of Acceptance Assigned to: <br /> Planning Case No. 7L - 9 ok L CLp)60-day Limit 120-day limit <br /> 5. 75— 61, C p1z> <br /> Fees Paid: Account# Check# Receipt# <br /> • Application: ,S"/ 'AD JD 11344.6 L/ 5 7 av 3 to <br /> Park Dedication: <br /> Deposits: <br /> Other: <br /> Total: • <br /> N:\DATA\GROUPS\COMDEV\FORIv1S\DEVAPP.FOR 1/98 <br />