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City of Mounds View,n-Ni Page 2 <br /> Development Application <br /> Property Classification a Abstract a Torreas <br /> Description of Proposal Please see attached letter . <br /> • <br /> BY MY(OUR) SIGNATURE ON THIS APPLI •. fi ,I HEREBY DECLARE THAT,TO THE BEST OF MY <br /> KNOWLEDGE,TIS INFORMATION PRO 31' TRUE AND AC TE. <br /> • <br /> Signature of Applicant <br /> 4at <br /> ed! tinted) Rab•rt 1:•I: Cun Ingham <br /> Name of Applicant(vv p <br /> Please see attached letters <br /> Signature of Property Owner <br /> Name of Property Owner(typed/printed) <br /> • <br /> • <br /> FOR OFFICE USE ONLY <br /> Date of Submittal Assigned to: <br /> Date of Acceptance 12ilimit <br /> Planning Case No. 509- Y7 60-day Limit <br /> Fees Paid. Accauat T Check 4 • <br /> ;:.. Applicatioa <br /> 170 0 qS' 01 Coos -FS7576gu <br /> Park Dedication: <br /> . . Deposits: <br /> Other. <br /> Total: <br /> C:.OFFICZWP` ZAWPDOCZADb@t1FORMSIDEVAPP:FOR <br />