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City of Mounds View,MN <br /> Development Application Page 2 <br /> • <br /> Property Classification a Abstract ❑ Torrens <br /> Description of Proposal z. X''=' G <br /> BY MY(OUR)SIGNATURE ON THIS APPLICATION,I HEREBY DECLARE THAT,TO THE BEST OF MY <br /> IIOWLEDGE,THE INFORMATION PROVIDED IS TRUE AND ACCURATE. <br /> Signature of Applicant K.2,71•4-90:47T.)- • 2 -L,.-e--1‘-'7,./.1-/ <br /> Name of Applicant(typed/printed) =,;/A/i,!i1 ice. /'/,=:,\4>c.0 r••••1 p, <br /> • <br /> Signature of Property Owner Divi la i. <br /> Name of Property Owner(typed/printed) f--fr iVeilL;riJ,. ;�/:: ...a,;��C • <br /> • <br /> FOR OFFICE USE ONLY <br /> Date of Submittal 1i-/$ - O 7 <br /> Date of Acceptance 1-1-14-°1 1 Assigned to: <br /> Planning Case No. 4`s•0- q 7 60-day Limit (0-11-61/120-day limit q -11, ci7 <br /> Fees Paid: Account# Check# <br /> Application: 7 ti o O 105 <br /> Park Dedication: <br /> Deposits: Sc/9 ,41 <br /> Other: <br /> 110 <br /> Total: <br /> COFFICSWPWZAWPDOCSWDMNFORMS1DEVAPP.FOR <br />