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City of Mounds View,MN <br /> Development Application Page 2 - <br /> Present Use of Property <br /> ❑ UndevelopedNacant 'A Single Family Dwelling III <br /> a Duplex/Two Family Dwelling a Multi-family Dwelling <br /> a Business/Commercial Establishment a Industrial Establishment <br /> o Other(explain) <br /> Property Classification 0 Abstract a Tocrens 1 <br /> Descript'on of P oposal 1 ail'34 0 1e'2. /0,4)2- illyillye-Y/f„// ' 4 (/0',YY/Z J 7) Af.., <br /> 04-i ' St'1 OM a A w• / ,'a& a / k. s�,,, - r `z• . 7-1, . . _ s sel) <br /> J0/� / )Lr, /iivl , a1N i„c ti to o- �� a, vaa f en. it boi. et . rm,ec�, <br /> (n)l'Hfl ct .15-"”' S/�4.fuel iJ ' c.� 9-Acm. p26A.cl? i ivt. <br /> BY MY(OUR)SIGNATURE ON THIS APPLICATION,I HEREBY DECLARE THAT,TO THE BEST OF MY <br /> KNOWLEDGE,THE INFORMATION PROVIDED""IS��TRUE�E AND ACCURATE. . <br /> Signature of Applicant / J();1�`� C __Steri`'. <br /> Name of Applicant(typed/printed) n„,A, e rr,,,„ iI0 <br /> V <br /> Signature of Property Owner ift- <br /> A `-YP\,i. <br /> Name of Property Owner(typed/printed) Ai At ' St4aLe o'J • <br /> Address of Owner 7s-.8 gq e U r' T...P-4_41,c t <br /> • A otM.tis. v,-e.,.tr— &J/ 6 33--862/( <br /> ll �33...y��� <br /> Phone Number of Owner C6/ZJ 7 8(7 -3405 (,sf> <br /> cf:fr <br /> #**PP%) t/12,11 i /11‘,2 /9-11,9 <br /> ****************************************************************** ****.* ** *******.r******** <br /> FOR OFFICE USE ONLY <br /> Date of Submittal ii_,k/ 9 / <br /> Date of Acceptance Assigned to: <br /> Planning Case No. SS 3 •4 el 60-day Limit 120-day limit <br /> Fees Paid: Account# Check# Receipt# <br /> Application: /0 0 . 00 fav 3 4 E6. _Ito/a 0 1 e1 a'i <br /> Park Dedication: <br /> Deposits: <br /> Other: <br /> Total: III <br /> N:\DATA\GROUPS\COMDEV\FORMS\DEVAPP.FOR 1/98 <br />