|
• •
<br /> City of Mounds View,MN
<br /> Development Application
<br /> Page 2
<br /> Present Use of Property
<br /> a Undeveloped/Vacant Single Family Dwelling •
<br /> c:1 Duplex/Two Family Dwelling Multi-family Dwelling
<br /> a Business/Commercial Establishment a Industrial Establishment
<br /> a Other(explain)
<br /> .. .
<br /> Property Classification a Abstract a Torrens
<br /> Description of Proposal ..e_< ,4...c7 (.0
<br />. _
<br /> -.....-.
<br />.,.:. ......:..,.-•.! . ,
<br />=;• --—BY MY(OUR)SIGNATURE ON THIS APPLICATION,I HEREBY DECLARE THAT,TO OF MY -
<br /> . _ .
<br /> .. .:.::.KNOWLEDGE.THE INFORMATION PROVIDED IS TRUE AND ACCURATE -------------
<br /> • • , . .., • ...• ) :,.........,.. •-. 0
<br /> Signature of Applicant ' - ' --'' ' •- •
<br /> . _.
<br /> Name of Applicant(typed/printed)• IC\4.1- ` ..
<br /> c..4.L._..c..._ -, -- - "7-:..7F•'"
<br /> Cl•n•Nez•r\c...e.cc --
<br /> -.
<br /> .,...
<br /> fir Signature of Property Owner . ' .
<br /> -: ; t. : '' <' .k:S.Ni..-,.........zyv....4_1Le„,....„'"f.:- ,: 4"..."....Z..-,,,,.. :.5.7:'....;-...,.--,._-.4%,-• ,...%.-
<br /> .
<br /> 1f.'W Name of Property Owner(tvnedinrintern ...ii-,......,- i\-\ :;7... :•,.-. ';':IZE.;'. ::-..:;..:.,•- ..-:-,.'''.....".,..,;-,,,-:',--,:;--'''.3'''rfiii: F'T-I.7.-='*"
<br /> -- ..,,------, .7'1— - ek c-:,F-..: •!. !...,...!!-5--!--‘ ..-. .5--
<br /> j,......'-',74 ;;•;;;;;;;--,..L..:;:'.•.... .. __: -'''--- - L ,_..:: ,-.;-: . .1-:.:' -...,,::'r .....,___.— "--::••••:•:.C.-:::.--;;;-. x"4%—'''::=-.1...-:-.:::7-=2;1.7,47“.4,4"Ariot:::: ..- -.
<br /> Addr0114 ofOwn _ • ..........:;:,.:-.....-...d-Kmq.:.,_--:t-_-. -,--:, >31:-..:;...' -:,-,•et:-- -tr,,i4.-,_,..-,-..-...,-,.:-,,,,.7.,.---:,--..,,'`e7 ..-_.-.-,....-..4.---.ze--7,--;•:-,:,--,34,,,,,,...:,-..,i.7.4;:,--
<br /> rrvevoa . cr../
<br /> -4..i4 --.er,7-A;'•F_'',f'!"' , . _
<br /> '% t‘eiLf•;- " fk .c..,c 1 k•-z.....•;-; • . ---: .-.-.-......:,;,-_.il..-.........-.:-.:-..:,::.-,.. -
<br /> ...... .- ,...
<br /> . . _
<br /> Phone Number of Owner - -TrfOD --< L ' ç* , .. . ..
<br /> . ...
<br /> . .
<br /> .. ............................................
<br /> FOR OFFICE USE ONLY
<br /> Date of Submittal .S'--) _ q q
<br /> Date of Acceptance Assigned to:
<br /> Planning Case No. S--",q '",.,:' - 60-day Limit 120-day limit
<br /> Fees Paid: Account# Cliecic* :__ :..---Receipt# -
<br /> Application: 1
<br /> Park Dedication:
<br /> Deposits: -
<br /> Other
<br /> III
<br /> Total:
<br /> N:1DATA1GROUPSCOMDVAFORMS1 DEVAPP.FOR U98
<br />
|