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City of Mounds View, MN <br /> Development Application Page 2 <br /> Present Use of Property <br /> • ❑ Undeveloped/Vacant a Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling • ❑ Multi-family Dwelling <br /> Business/Commercial Establishment ❑ Industrial Establishment <br /> ❑ Other(explain) <br /> Property Classification ❑ Abstract ❑ Torrens <br /> • <br /> Description of Proposal TM P-.TO 2 5u 6 c1‘U 1 c /n vJ <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 /> Signature of Applicant Up-PAA 431)` /(1/1A-Sek t/7 <br /> Name of Applicant(, ped/ rioted) <br /> • Signature of Property Owner <br /> Name of Property Owner(typed/printed) <br /> Address of Owner <br /> Phone Number of Owner <br /> FOR OFFICE USE ONLY <br /> Date of Submittal *..i,>�r,rn-zzv i igi9`d <br /> Date of Acceptance No veor.. - (2., Assigned to: ,r.. E.2w'e-\-- <br /> Planning Case No. S 1(—q g 60-day Limit 1 - to-IQ 120-day limit 3—((- <br /> Fees <br /> (-Fees Paid: Account# Check 4 Receipt# <br /> Application: Z co <br /> Park Dedication: <br /> Deposits: <br /> • Other. <br /> Total: ; t' <br /> N:'DATA\GROUPS\COMDEV\FOR.'vMS\DEVAPP.FOR 1;98 <br />