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City of Mounds View,MN <br /> Development Application Page 2 <br /> • <br /> Property Classification X Abstract 0 Torrens <br /> Description of Proposal /ti: c .€4 AS t S cq Fo o-r 4-(e o r ip e r-04-4)4� ,) A le <br /> 14‹61- <br /> FL 1 S CO —2- <br /> iZ er( rte Civ6,2€Are of 329 r rai <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 ACCURA <br /> Signature of Applicant Qti� G <br /> Name of Applicant(typed/printed) ,4 D L. . £ A- 2 Q 4,c./ <br /> • <br /> Signature of Property Owner <br /> Name of Property Owner(typed/printed) d/' L _ R 4,Q -‘../ <br /> • <br /> FOR OFFICE USE ONLY <br /> Date of Submittal 97 <br /> Date of Acceptance 7 Assigned to: <Y <br /> Planning Case No. - q? 60-day Limit (, - .o *) 120-day limit - 19 - ; 7 <br /> Fees Paid: Account# Check <br /> Application: '7_5 (,bh L, ,j SO O a <br /> Park Dedication: <br /> Deposits: <br /> Other: <br /> • <br /> Total: <br /> CMFFICEIWPWWWPDOCS1ADMINIFORMSMEVAPP.FOR 1/97 <br />