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City of Mounds View,MN • <br /> Development Application Page 2 <br /> 4110 Present Use of Property <br /> Undeveloped/Vacant o Single Family Dwelling <br /> Duplex/Two Family Dwelling C Multi-family Dwelling <br /> o. Business/Commercial Establishment o Industrial Establishment <br /> o Other(explain) <br /> Property Classification ct Abstract , Torrens <br /> Description of Proposal CoetS•-rod-f io✓t 0r a 49,- Uni4. A( 2kei,Mcr-s '-Segl;�- <br /> ftezorte a �ss4- : l2- 'I. 1-1 104r <br /> C orig.4-1.o.tal OS 4 Se.eAqibit 1 'llOct. 014Sukd, 2 <br /> „ N ti e- t_e S-1 n/kegs1 R S I.,l L <br /> Ar (oro �p .to t t . . . <br /> BY MY(OUR)SIGNATURE ON THIS APPLICATION,I HEREBY DECLARE THAT,TO THE BEST OF MY <br /> KNOWLEDGE,THE INFORMATION PROVIDED IS TR ►. • • CCURATE. <br /> Signature of Applicant .10 <br /> J Name of Applicant(typed/printed) M t L O lc FR-ra • <br /> Signature of Property Owner <br /> Name of PropertyOwner(typed/printed) M <br /> 1 E `tZEAcrI C . <br /> . <br /> • Address of Owner S Z 3 5 eu-rm 8 <br /> ET <br /> toti4EAPoLis e MAI - <br /> Phone Number of Owner (4 t x) 3 o s — 2 q 21 <br /> A•'tr+s : i3 ttu c t .l. E/4 GE L'S M A <br /> r*****••••••••••••••#Mr••••+k••••••••••••••••i****•**F***•••••••••••••••************ ****r****itis* <br /> FOR OFFICE USE ONLY <br /> Date of Submittal <br /> Date of Acceptance Assigned to: <br /> Planning Case No. ,cam—e 4 60-day Limit 120-day limit <br /> • Fees Paid: Account# Check# Receipt <br /> Application: ;i:i/' .0%--) ��-.3u�°/)4n-S�.--q 1 -�� Zl <br /> Park Dedication: <br /> Deposits: <br /> Other: <br /> Total: <br /> • N:1DAfAiOROUPS\COMDEV\FORMS\DEVAPP.FOR 1/9s <br />