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City of Mounds View,MN <br /> . Development Application Page 2 <br /> 11111 <br /> Property Classification ❑ Abstract ❑ Torrens <br /> Description of Proposal See(1 ( ,tes G0.2. .10 O a-} <br /> Ala LA,vtaS vi c t.a �' ..;a.r c (O - 7 P/v1; 74.a.1 S o. ,..ge ) I - <br /> -. 2.7 <br /> BY MY(OUR)SIGNATURE ON THIS APPLICATION,I HEREBY DECLARE THAT,TO THE BEST OF MY <br /> KNOWLEDGE,THE INFORMATION PROVIDED IS ACCURATE. <br /> Signature of Applicant 4 Z-- <br /> Name of Applicant(typed/printed) Q(Sa <br /> • <br /> Signature of Property Owner <br /> Name of Property Owner(typed/printed) <br /> • <br /> • <br /> FOR OFFICE USE ONLY <br /> Date of Submittal tf'- 9 - q-7 <br /> Date of Acceptance 5-l - `1( Assigned to: <br /> Planning Case No. $,3 - 97 60-day Limit p - 120-day Iimitq-t2 <br /> Fees Paid: Account# Check# d t.(,- <br /> Application: I� <br /> Park Dedication: 3.-1 - °I 7 <br /> Deposits: <br /> ss , 3a- <br /> Other: <br /> Ital: <br /> C'OFFICE\WPWIN\WPDOCSIr1DMINTORMS DE1APP.FOR <br />