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Feb li 98 02: 43p We.. 411 <br /> .�e11 R. Smith 61� r84-0699 p. 2 <br /> City of Mounds View, MN <br /> Deveto•meat A. •!leaden <br /> Present Use of Pmpv Pa.t Z <br /> Undeveloped/Vacant <br /> Duplex/ wo Family Dwelling Beagle Fly Dwelling <br /> l <br /> G Business/Commercial Establishment e ;dull-family Dwelling <br /> Other(explain) +istrisf Industrial-Establishment <br /> Property Classification 20 Abstract <br /> a l OtTL719 <br /> Description of Proposal <br /> BY MY(OUR)SIGNATURE ON MIS APPLICATION, <br /> HEREBY <br /> KNOWLEDGE, THE INFORMA TION PRO VTDED ISIUE DECLARE THAT,TO THE BEST OF MY <br /> Signature of ApplicantITS <br /> (rypedlPrintcct) R. 'JAY ANTHO. <br /> Name of Applicant 1111 <br /> Signature of Propertyr <br /> Owner <br /> • <br /> Name.ofProperty Owner(trprci/Printed) LOU/SE 0 tIE_-L T <br /> Ow <br /> Address of Owner <br /> TT t {—I <br /> Phone Number of Owner <br /> 5r- <br /> .swss****asaes*as***********************as*****taxa:axassrr++ *****Innis******s************srssss <br /> )ate of Submittal :FO <br /> OFFICE USE ONLY <br /> )are of Acceptance <br /> 'honing Case No. Assigned <br /> to: <br /> 60'day t 120-day limit <br /> Fees Paid: Account • <br /> oplication: Checkrk Dedication: Receipt <br /> :posits: , <br /> ler' <br /> • <br /> )ATAIOROLPSICOMDEV\FAA ki ClEu,r#o ran <br /> r00-COOC2i TZ2I3d021d .I�OH?�F r6ffT66Z1.6S/ CZ:t'T 96/CT/Z0 <br />