Laserfiche WebLink
run Yew MEN <br /> G of Mounds <br /> Development Application Page 2 <br /> SP <br /> Property Classification 14 Abstract c Torrens <br /> Description of Proposal <br /> P U n 1°LA-t4 F0�(Z. COP6 /( i +) . 5 1-1 7Q - ) -rto D <br /> (2 V Lt o hi-Lo S i9-74--(3 1'21- `' F r 0-)e <br /> 14770 c ( viLOc <br /> BY MY(OUR) SIGNATURE ON THIS APPLICATION,I HEREBY DECLARE THAT,TO TIM BEST OF MY <br /> KNOWLEDGE,THE INFORMATION PROVIDED IS TRUE AND AC ' •TE. • <br /> Signature of Applicant /% ��� // <br /> Name of Applicant(typed/printed) A9/4A <br /> Signature of Property Owner <br /> Name of Property Owner(typed/printed) <br /> • <br /> FOR OFFICE USE ONLY <br /> Date of Submittal ;.S `tali <br /> Date of Acceptance .w 2 S C CleAl, ('�tv i&w Assigned to: <br /> Planning Case No. 60-dav Limit ci/23/5 7 120-day limit r I/ z t/1-7 <br /> Fees Paid: Account <br /> Caecr5-74 ()a-o3 <br /> Application: <br /> Park Dedication: <br /> Deposits: <br /> Other: <br /> Total: <br /> C:.OFFCZ WPWZINWPDOCSWDMIN\FOR:v(S1DEVaPPS-0R <br />