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us/u•1• 96 11:J6 FAX 612 784 3462 CITY OF MV 2005 <br /> City of Mounds View, MN <br /> Development A lication <br /> PIRG 2 <br /> Present Use of Property <br /> • Undeveloped/Vacant <br /> a Single Family Dwelling <br /> e D�ie:c/Two Family Dwelling <br /> 0 Multi-famtiy Dwelling <br /> a Business/Commercial Establishment a Industrial Establishment <br /> 0 Other(explain) <br /> Property Classification 4; Abstract 0 Totems <br /> DescriptionotProposal Addition to existing building and additional parking . <br /> • <br /> BY MY(OUR)SIGNATURE ON THIS APPLICATION I -:a'a_y r d •• i THAT,TO THE BEST OF MY <br /> KNOWLEDGE,,THE INFORMATION PROVIDED IS r;;Iir- • . • <br /> Signature of Applicant // <br /> • <br /> Name of Applicant(typ�P t " A 4 - <br /> V <br /> Signature ofProper'tyrOwner .— Spme as above <br /> • Name of Property Owner(typed/printed) -._ sing Co . II z LL C <br /> Address of Owner . „Y-- . _. .840D Coral..S esg,.St�_.lY. _._ . <br /> - - - .. .._ • . .Blaine,.. MN 55449.. . <br /> Phone Number of Owner 612-780-1500 <br /> .4.0.4.8.0*** .******,t****ss .*aa.aanuns.e ssss..m.*****......•**ss.w.s .. <br /> FOR OFFICE1ISE ONLY <br /> • Data of Submittal <br /> Date of Acceptance Assigned to: _ <br /> Planing Case No. 60-day Limit 120-day limit <br /> Fees Paid: Aaoount 0 Checkt# <br /> Application: <br /> • <br /> Par1c Dedication_ <br /> Deposit= <br /> Other: <br /> Total: <br /> • N:tDATAQROUPSWOMDEVUFORMSIDEVAPP1OR <br />