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City of Mounds View, MN <br /> Development Application Page 2 <br /> Present Use of Property <br /> O Undeveloped/Vacant Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling /❑ Multi-family Dwelling <br /> ❑ Business/Commercial Establishment 0 Industrial Establishment <br /> ❑ Other(explain) <br /> Property Classification `X Abstract 0 Torrens /� �1 <br /> Description of• pposal / j G I I .►': % / / ' I t}1'1ti 1 i t ,1L . .., " l Ccid ra <br /> . <br /> BY MY(OUR)SIGNATURE ON THIS APPLICATION,I HEREBY DECLARE THAT,TO THE BEST OF MY <br /> KNOWLEDGE,THE INFORMATION PROVIDED IS TRUE A CURATE. <br /> Signature of Applicant <br /> Name of Applicant(typed/printed) 7-1*17.i S <br /> Signature of Property Owner la;Z4,1 <br /> Name of Property Owner(typed/ptinted) M/C'//4L 3. '7a$//3S <br /> Address of Owner - e/// AsTWp •- /t/4 <br /> / AiC/a "►//E W szs <br /> Phone Number of Owner '32 3070e9 • 70 g <br /> FOR OFFICE USE ONLY <br /> Date of Submittal g-otiO -ci g <br /> Date of Acceptance Assigned to: <br /> Planning Case No. 53 5 - 60-day Limit 120-day limit <br /> Fees Paid: Account# Check# Receipt# <br /> Application: /f/o O /Oo-,3 Lfv a Sap/p SQ(o'7 41' <br /> Park Dedication: <br /> Deposits: <br /> Other: <br /> Total: <br /> N:1DATA\GROUPS\CON1DEV\FORMS\DEV.aPP.FOR 1/98 <br />