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City of Mounds View, MN <br /> Development Application Page 2 <br /> Present Use of Property <br /> a Undeveloped/Vacant x❑ Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling 0 Multi-family Dwelling <br /> O Business/Commercial Establishment. 0 Industrial Establishment <br /> O Other(explain) • <br /> Property Classification 0 Abstract Torrens <br /> DescriptionofProposal 7 foot addition to west wall n hni,GP AnCC <br /> 22 x 22 foot attached garage; existing garage of 14 by 20 <br /> (280 square foot) to be used as storage <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 AND ACCURATE. <br /> Signature of Applicant. ' ./ ' i <br /> ‘°'- <br /> Name of Applicant(typed/printed) Leonard Medrud Arthur -L. Jo'Ian <br /> Signature of Property Owner - ' - • / e <br /> Name of Property Owner(typed/printed) <br /> Leonard' Medr`ui3. -' Arthur L 'Jordan <br /> Address of Owner 2085 Oakwood--Drive <br /> ... <br /> • Mounds View, MN 55112 <br /> Phone Number of Owner 784-4275 (h) 879-5332 (w) <br /> ************************************************************************************************ <br /> FOR OFFICE USE ONLY <br /> Date of Submittal S-11 -. <br /> Date of Acceptance Assigned to: <br /> Planning Case No. 60-day Limit 120-day limit <br /> Fees Paid: Account# Check# Receipt# <br /> Application:.... , 23—•v a 9.3 7,3 9 <br /> Park Dedication: <br /> Deposits: <br /> Other: <br /> Total: <br /> N:\DATA,\GROUPS\COMDEV\FORMS\DEVAPP.FOR 1/98 <br />