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City of Mounds View, MI <br /> Development Application Page 2 <br /> Present Use of Property <br /> t7 Undeveloped/Vacant trk Single Family Dwelling <br /> ❑ <br /> Duplex/Two Family Dwelling a Multi-family Dwelling <br /> C Business/Commercial Establishment ❑ Industrial Establishment <br /> ❑ Other(explain) <br /> Property Classification ❑ Abstract ❑ Torrens :-.. <br /> Description of Proposal <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) <br /> Signature of Property Owner `� n <br /> •Name of Property Owner(typed/printed)• <br /> 4 <br /> - -.--. _tea.. <br /> - Address of Owner -. .. _.....--- l S �• �ne-wc�o� �r - ._ . _ __ _.._--- •• Mfg.: - <br /> -- - i Sw•1.1j YYir <br /> -- _.�. - � .,'. -'-:-.-� . �,_-s: ..,..-=..:.'- •': .- rte. <br /> (Acta) <br /> '��— _ A. - _._....�•. . .U4f 1, rr/4 +fid+4 .- <br /> �k+1SS UICu) ►.t- Set 12:7 <br /> Phone Number of Owner ?:)l -'3cl 1(, T . <br /> h _ . �1 = <br /> *********************.***** <br /> FOR OFFICE USE ONLY • <br /> Date of Submittal 7-/o - <br /> Date of Acceptance 7 Assigned to- <br /> Planning Case No. S31-tk & 60-day Limit 120-day limit . <br /> , - <br /> Fees Paid: Account# Check#-::. ..-7••••• • •- let-eipc# <br /> Application: if 75 - 4173 y •' . S 9 3 3 4 <br /> Park Dedication: <br /> Deposits: <br /> Other: <br /> •oral: . <br /> NADATA1GROUPS1COMDEV1FORMSIDEVAPP.FOR 1/98 <br />