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City of Mounds View, MN <br /> Development Application Page 2 <br /> Present Use of Property <br /> ❑ Undeveloped/VacantX Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling ❑ Multi-family Dwelling III <br /> ❑ Business/Commercial Establishment ❑ Industrial Establishment <br /> ❑ Other(explain) <br /> Property Classification ❑ Abstract ❑ Torrens <br /> Description of Proposal a I U t <br /> a t. A. ti . & ....—. <br /> it1P 444r e nnr Jtn in D;� ' atPn`i{ <br /> �b=ne ____►ce kts,c, a net r in Q (",,n i'(- . <br /> BY MY(OUR) SIGNATURE ON THIS APPLICATION,I HEREBY DECLARE THAT,TO THE BEST OF MY <br /> KNOWLEDGE,THE INFORMATION PROVIDED I TRUE AND ACCURATE. <br /> Signature of Applicant el r <br /> Name of Applicant(typed/printed) Til,A4 U V k�y i H _7- <br /> 7 <br /> Signature of Property Owner I . . / ``- 1 <br /> illi <br /> Name of Property Owner(typed/printed) 7;4 h.t flit Wa," -S e hrvt i'-f-f-- <br /> • <br /> Address of Owner (5e,- ) ,s_ ".(c• 44 : IN j f(z) f?t,\a ri <br /> mr,,, A d S \)t;•.tiJ ) A r ) S'5 i V -a- <br /> Phone Number of Owner ( ,z) (o i a- r)'S-O4 5 to r - tot -_ 3 C) —J(-._\-I-1 <br /> FOR OFFICE USE ONLY <br /> Date of Submittal <br /> Date of Acceptance Assigned to: <br /> Planning Case No. 60-day Limit 120-day limit <br /> Fees Paid: Account# Check# Receipt# <br /> Application: <br /> Park Dedication: <br /> Deposits: <br /> Other: <br /> Total: • <br /> N:\DAT.A\GROUPSCOMDEVTORMS1DEVAPP.FOR 1/98 <br />