Laserfiche WebLink
City of Mounds View,MN ;_ • <br /> - <br /> Development Application Page 2 <br /> S . <br /> Property Classification yam` Abstract a Torrens <br /> Description of Proposal See Attached <br /> • <br /> BY MY(q,UR) SIGNATURE ON THIS APPLICATION,I HEREBY DECLARE THAT,TO THE BEST OF MY <br /> iorowualq,THE INFORMATION PROVID IS r i • DA CURATE.-- — —— <br /> _ <br /> l• Signature of Applicant /) /1 -` - _ .- - _- <br /> Name of Applicant(typed/printed) MSP Real Estate, Inc. <br /> • <br /> Signature of Property Owner <br /> Name of Property Owner(typed/printed) 7.; :.. • <br /> • <br /> • <br /> _ _ __________ <br /> . _ _ <br /> _ _______._ _ <br /> _ . _ _ . . <br /> - - _ _ . <br /> ******* ******** ********************************** ****** <br /> FOR OFFICE USE ONLY <br /> Date of Submittal 5 --.;3 -9 7 <br /> Date of Acceptance Assigned to: <br /> Planning Case No. - 97 60-day Limit 120-day limit <br /> • <br /> Fees Paid: Account;# Check# - <br /> Application .3 00 ( 5--5-471/ <br /> Park Dedication: <br /> Deposits: <br /> 417: <br /> Total: <br /> C:,OFFICEIWPWIi 11WPDOCS\ADMEAFORMSIDEVAPPS OR I197 <br />