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City of Mounds View, MN <br /> Development Application Page 2 I <br /> Present Use of Property <br /> Undeveloped/Vacant ❑ Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling ❑ Multi-family Dwelling <br /> a Business/Commercial Establishment ❑ Industrial Establishment <br /> ❑ Other(explain) <br /> Property Classification Qf Abstract ❑ Torrens <br /> Description of Proposal jj A r1 t rt Q M A k E • ,4 7 A L o7`' a ti E g o ut }� <br /> �!q Gr - p >J . • - •f <br /> a35A •- .9 be»r'th,P X134 . _. . z - <br /> BY MY(OUR)SIGNATURE ON THIS APPLICATION.I HEREBY DECLARE THAT,TO THE BEST-0F MY <br /> KNOWLEDGE,THE INFORMATION PROVIDED IS TRUE AND ACCURATE. <br /> - -f <br /> Signature of Applicant <br /> Name of Applicant(typed/printed)..: „ F E.-$r J, /)4,r i e L 5 O ff 9R- / AR,Z Eta J jj.4n t E l 5 <br /> Signature of Property Owner ,V / # <br /> Name of Property Owner(typed/printed) NES r5e-Wh L. c ' ' ' :• <br /> Address __ - _- <br /> _ .. - of Owner - - -=-' - C _ _ <br /> _ h <br /> • <br /> : LLN D s V I E Lc) A N, //a- <br /> x -- <br /> Phone Number of Owner 6/3-78.61 - 7 c/ q <br /> • <br /> FOR OFFICE USE ONLY <br /> Date of Submittal NOV 1 o) 14 q g <br /> Date of Acceptance DEC i 9, i 9 9 2 Assigned to: 't. E u4')1. <br /> Planning Case No. 5 4 0 - 9 8 60-day Limit . - ' - 3 120-day limit +a- ti-la <br /> Fees Paid: Account# Check# Receipt <br /> Application: .(30. o o • <br /> Park Dedication: <br /> Deposits: <br /> Other <br /> Total: • <br /> N:TATA\GROUPS\COMDEV\FOILMS1DEVAPP.FOR 1198 <br />