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City of Mounds View,MN <br /> Development Application <br /> 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 ❑ Industrial Establishment <br /> ❑ Other(explain) <br /> Property Classification ❑ Abstract 0 Torten <br /> Description of Proposal ' /�_ / <br /> 1,4D, 744 etg <br /> .i4 e Y"r . <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) Chet-He 5 G. <br /> Signature of Property Owner 6 <br /> Name of Property Owner(typed/printed)p ) cLt/e;S G <br /> Address of Owner., _ 758/ Spr/h3* <br /> No omiS V `e�r/. <br /> � Hrnit- <br /> Phone Number of Owner <br /> X89-0 P <br /> FOR OFFICE USE ONLY <br /> Date of Submittal _/ $ <br /> Date of Acceptance 3— l — 977 Assigned to: <br /> Planning Case No. <br /> S 1 z —S 60-day Limit S—1(,-`if; I 20-day limit l —i 5—9 j <br /> Fees Paid: Account# Check# Recei t# <br /> Application: ,,74n .e° P • <br /> Park Dedication: �¢ y0 <br /> Deposits: <br /> Other <br /> Total: <br /> N:\DATA\GROUPS\COMDEV\FORMS\DE VAJP.FOR <br /> 1/98 <br />