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c;111 OF MV iii OQ2 <br /> Oty of Mounds View,Mid <br /> • newtons*itaalicatian —....„ __________ Par°2 <br /> Prolog Ute, o Single Family Dwelling <br /> a Deo Falk/Dwelling a Moldy Dwelling <br /> p Ilemineesannammial ilisabliabmmt o Asa Establisbaman <br /> • <br /> a Quer(explain) <br /> itt/P217 Cloadegien o mama ), Tomo <br /> Deoription 074n:c i! .1 �... .a... a • CF ' 1 _ , . , 4 <br /> .. <br /> BY MY(OUR)SIGNATURE ON THIS APPLICATION,I HERM DECLARE THAT,TO THE BEST OF MY <br /> DIOWLEDGE,THE INFORMATION PROVED IS TRUE AND ACCURATE. <br /> upon cn ol(Appliomc2.1t,et,..itui R - <br /> Name ofApplinesfl(typed/printed) *t..eult.I P i re. <br /> Spore dPrap�►owner _�.:._ <br /> • Name ofPro1P Y Owner(lypadlpri ) I Q- i* a_r2 <br /> Addte s LOwner _ ci24,.._` eff '1 .9 <br /> Ply/, PQM it MP .s5 -3 <br /> Phone Number of Owacr2-- 31:-3-1.P3------------. <br /> w .*e*****wwrwme. *w.e ••••********.*•**** *.worwe is. .»s .**»***rem**rte» <br /> Q <br /> Cr— 7Z1FFt+ v <br /> Daae afSubmiaal _ SE ONLYp�agoad to: <br /> Dara of Planning <br /> Case N . 60-dal'Unit ,,,1.120-dtY.limit pfaaaiag Cnee Na. <br /> Meek k I Receipt 0 <br /> Pees PaAad* � -��� ,�,�"�-�, <br /> . Ap iico� _„_L,� - o e,r� =3 b ._-- <br /> Panic Dedication; --- <br /> 17S -- <br /> Other ... <br /> Tocol: •-- inn <br /> 0 <br /> NODAT LOIMCOMD <br /> EW1021,4V tVAPP <br /> .FOR <br />