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City of Mounds View,MN <br /> Development Application <br /> Page 2 <br /> Property Classification a Abstract G Torrcns <br /> Description of Proposal ayi Cictitevea JJ Ube. FOLLnti . <br /> L"'tel; <br /> BY MY(OUR) SIGNATURE ON THIS APPLICATION,I HEREBY DECLARE THAT,TO THE BEST OF MY <br /> IO\IOWLEDGE,THE INFORMATION PROVIDED IS TRUE AND ACCURATE • <br /> - _ <br /> Signature of Applicant <br /> .. <br /> Name of Appiicant(typed/printed) <br /> Signature of Property Owner — — _ J <br /> _,��� !sem.� _ � '_ Vie. ) <br /> Name of Property Owner(typed/printed) J 39 /CQy(A.UUd D- <br /> .• <br /> FOR OFFICE USE ONL Y <br /> Date of Submittal <br /> Date of Acceptance <br /> Assigned to: <br /> Planning Case No. 60-day Limit 120-day limit <br /> • <br /> Fees Paid: Account T C';e <br /> Application: <br /> Pork Dedication: <br /> Deposits: <br /> Other <br /> • <br /> Total: <br /> C OFFIC.WPWWWPDOCSWDMINIFORMSIDEVAPPSOR <br /> 1/97 <br />