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City of Mounds View,MN <br /> Development Application Page 2. <br /> Property Classification fid.. Abstract a Torrens <br /> Description of Proposal ,•f <br /> • <br /> BY MY(OUR)SIGNATURE ON THIS APPLICATION,I I • Y DECLARE THAT,TO THE BEST OF MY <br /> KNOWLEDGE,THE INFORMATION PROVIDED IS iRi • II' ACCURATE. <br /> Signature of Applicant <br /> Name of Applicant(typed/printed) L6 AJzi 147X:1* '' Mea PL.,4 c.D` <br /> Signature of Property Owner 6--7 <br /> Name of Property Owner(typed/printed) Ale bc%f�,�r 5 ( F?p <br /> • <br /> FOR OFFICE USE ONLY <br /> Date of Submittal ac 11-1 <br /> Date of Acceptance t` ` -2S-) f c,c, j Assigned to: (-}- <br /> Planning <br /> Planning Case No. - co- q 60-day Limit ct-Z3-9 7 120-day limit 1 t-22 —5 <br /> Fees Paid: Account# Check# <br /> Application: 75 %On -2 4.5-5— <br /> Park <br /> f$ 3 Park Dedication: <br /> Deposits: <br /> . <br /> Other: <br /> Total: <br /> C:.OFFICE~•WPWZAWPDOCSWDIrffivv'TOR.MSIDEVAPP.FOR 1197 <br />