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S-19-19g7 4:S I AH FP.Ot.1 HSP PEAL ESTATE. INC. 612 - :;(3 4565 <br /> P. 3 <br /> oi. L3:9T 22:44 FAX '412 7. .; 3442 '.LLY Ut wV tt,,,%11 VVJ <br /> cry of Mounds Yiew,MN <br /> Derelo• .. .. • •licstion <br /> Ps- <br /> Property Classification o Abstract MX Tom= <br /> Dc=2Plic112 ct?ropusal tt'1/f1 at_ a.ub.d <br /> ..�� xteen n2.1.1 X11t.to tviir� <br /> BY MY(OUR)SIGNATURE ON TFIIS APPLICATION.I FAY DECLARE THAT.TO T' 3FS i OF WY <br /> KNOWLEDGE.THE INFORMATION PROVIDED I5 TRACCURAIE. <br /> Si of 'cant I•/ �,/ e / ±t • <br /> Name of Appy(typed/printed) MA <br /> Name ofProperty Owner(typ f/�1 Af,U O _Z! <br /> � sffTr. <br /> 1110 <br /> • <br /> FOR OFFICE USE ONLY <br /> Dare of Sni <br /> Data oCAccegmace Asaigoed to: <br /> Pla Cs=No. t"e f-47 60.4+1..i: Io- 17 120-4 ►Iim' tc�.- 3'�-Q1 <br /> • <br /> Fos Psicd Account S C3eck <br /> Applicata=PairDe�asrDersim 5�4"�'Q <br /> QL-g7 <br /> - <br /> other:-— <br /> Tow: • <br /> GICW!WWW110 OC DFCC!W211$4W1vA2!FOR kin <br />