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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 ❑ Industrial Establishment <br /> ❑ Other(explain) <br /> • <br /> Property Classification 0 Abstract ❑ Torrens - <br /> Description of ProposalZ 0 J•t ''{—ca e_: X 2 2 e- r az: <br /> 0 rcc 1 s Qh. C i ,, x•A�r 1- <br /> - <br /> `t." d.arfN vs.e -t-kit <br /> )''J. Q <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 �✓t !� <br /> Name of Applicant(typed/printed) D Q n , ) a+e <br /> Si ature of Pro Owner <br /> � PAY <br /> • <br /> Name of Property Owner(typed/printed) D 1 Oe S • <br /> Address of Owner <br /> �3 l" �1%-c +o,,. 7.>,1 L <br /> 14/Ott-tdrS V:L� -'�/V• <br /> Phone Number of Owner 6 I ! eZ- 6-).7 <br /> • <br /> • <br /> FOR OFFICE USE ONLY <br /> Date of Submittal 3' { 0 <br /> Date of Acceptance Assigned to: <br /> Planning Case No. S V' S gam(, 60-day Limit 120-day limit - <br /> Fees Paid: Account# Check# • Receipt# <br /> Application: { 0C) . W tick) —3 9 53 2L-1' `t(f) <br /> Park Dedication: <br /> Deposits: <br /> Other: <br /> Total: <br /> N'DATA\GROUPS\COMDEV\FORMS\DEVAPP.FOR 1/98 <br />