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City of Mounds View, MN <br /> Development Application Page 2 <br /> • Present Use of Property <br /> ❑ Undeveloped/Vacant x❑ Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling ❑ Multi-family Dwelling <br /> ❑ Business/Commercial Establishment 0 Industrial Establishment <br /> ❑ Other(explain). <br /> Property Classification 0 Abstract Torrens <br /> Description of Proposal 7 foot addition to west wall of hryriqp nti <br /> 22 x 22 foot attached garage; existing garage of 14 by 20 <br /> (280 square foot) to be used as storage <br /> • <br /> _ <br /> BY MY(OUR)SIGNATURE ON THIS APPLICATION,I HEREBY DECLARE THAT,TO THE BEST OF MY <br /> KNOWLEDGE,THE INFORMATION PROVIDED IS TRUE AND ACCURATE. // <br /> - <br /> Signature of Applicant _ _ r• _/ � -•• <br /> Name of Applicant(typed/printed) Leonard Medrud Arthur -L.. Jo ' •lran <br /> • <br /> • Signature of Property Owner o! ' ..,.1� <br /> yr - . � <br /> .• <br /> Name of Property Owner(typed/printed)._;.:_Leonard = Arthur L:''Jordan <br /> . y <br /> L :7.)3 . ��1 �i-�i-i�i:�i- ave -,c, 7 r <br /> Address of Owner k .� 2085 .Oakwood..Drive <br /> • Mounds View, MN 55112 . <br /> PhoneNumberofOwner 784-4275 -(h) 879-5332 (w) <br /> FOR OFFICE USE ONLY <br /> Date of Submittal 5--/3 - °� Q <br /> Date of Acceptance Assigned to: <br /> Planning Case No. Sa g - O1�6 60-day Limit 120-day limit <br /> Fees Paid_ Account# Check# Receipt# <br /> Application: <br /> 2.5—• o�.. = - - - a 7 3 '3 <br /> Park Dedication: <br /> Deposits: • <br /> • Other: . <br /> Total: <br /> Y:IDATA\GROUPSICOMDEV\FORMSIDEVAPP.FOR 1/98 <br />