Laserfiche WebLink
City of Mounds View, MN <br /> Development Application Page 2 <br /> Present Use of Property <br /> • ❑ Undeveloped/Vacant Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling 0 Multi-family Dwelling <br /> ❑ Business/Commercial Establishment ❑ Industrial Establishment <br /> ❑ Other(explain) <br /> Property Classification 0 Abstract 0 Torrens <br /> Description of Proposale. e 4—. l�_ <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 1e_ <br /> Nameof Applicant(typed/printed) G j Iv Aft./ p L <br /> rGNamSignature of Property Owner . ,22Are- <br /> Name <br /> e of Property Owner(typed/printed) <br /> Address of Owner. <br /> Phone Number of Owner 7 - <br /> ************************************************************************************************ <br /> FOR OFFICE USE ONLY <br /> Date of Submittal '1 - - q <br /> Date of Acceptance l - - "I 9 Assigned to: "�- <br /> Planning Case No. 541-'11 60-day Limit 2 cl l20-day limit 5- S - <br /> Fees Paid: Account# Check.# Receipt# <br /> Application: ? c'14 D 4 <br /> Park Dedication: <br /> Deposits: <br /> Other: _ <br /> • Total: <br /> N:\DATA\GROUPS\COMDEV\FORMS\DEVAPP.FOR 1/98 <br />