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City of Mounds View,MN <br /> Development Application • <br /> Page 2 <br /> 411 <br /> Property Classification ❑ Abstract ❑ Torrens <br /> Description of Proposal N Qi d-1 m OUB X J r C fnl Ili l►'1 r 11111+ yh Icag hong -h) pt- . <br /> hrnus.. om0,u - U,Y1i F ita}cs 4 res fu.(.t. Luroio�i house_I. �i ren �r►f �ihQ <br /> 11i,1 i i i'. l.L..0., . I I pi WO n ru .4 L t t1l i• .' <br /> ! /! S it' I t fro et- •. /t 4_ .j til I. ' .y �, O /1 l l t l . <br /> I <br /> .. .1. i. I - 1► run) + /. 1 % �A !� Q - i_+ .&i.gAAL/ A1.../IL� <br /> �(,rI1AlA. i3 unA h134nf� C'�4101-e: <br /> VY1 t nitctto <br /> % 5 e Uh�� w �alA., had IV <br /> B MY(OUR)SIGNA ON THIS APPLICATION I HEREB�� GG�� S /O St�.�.�td <br /> DECLARE ,TO BEST OF MY <br /> I KNOWLEDGE,THE INFORMATION PROVIDED S TRUE AND ACCURATE. <br /> Signature of Applicant IhOJ1L bUl/kl <br /> Name of Applicant(typed/printed) INane. WWI h rYl/x�? <br /> Signature of Property Owner a.LL kiiz & _ <br /> Name of Property Owner(typed/printed) fra 1(14)jii &.- <br /> Hu. u;-f- Web Q i&unb; <br /> 7°D <br /> i- <br /> Gher /e4sen� Nr- �uRtc�gf 1 �a1d <br /> uht>` <br /> FOR OFFICE USE ONLY <br /> Date of Submittal 3 - q 7 <br /> Date of Acceptance (6 -'3 0 - Assigned to: <br /> Planning Case No. Lf a ( 0 J 60-day Limit g'�c) 120-day limit I o-�. <br /> Fees Paid: Account# Check# <br /> Application: <br /> Park Dedication: S 4-)Li <br /> Deposits: <br /> Other: <br /> •Total: <br /> C:OFFICEIWPWINIWPDOCSIADM1 ORMS1DEVAPP.FOR 1197 <br />