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City of Mounds View, MN <br />Development Application Page 2 <br />Present Use of Property <br />O UndevelopedNacant k' Single Family Dwelling <br />O Duplex/Two Family Dwelling CI Multi -family Dwelling <br />0 Business/Commercial Establishment o Industrial Establishment <br />O Other (explain) <br />Property Classification <br />Description of Proposal <br />Abstract <br />Torrens <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 <br />Name of Applicant (typed/printed) <br />Signature of Property Owner <br />Name of Property Owner (typed/printed) <br />Address of Owner <br />Phone Number of Owner <br />mnozA-c:R <br />ZicK <br />A/K1s-ct-:0 )arte.A> <br />V iniieieJifck <br />ar? Pe& Ocii< <br />6fa ?Pi 4099 <br />************************************************ ** ** <br />FOR OFFICE USE ONLY <br />Date of Submittal - 9 <br />Date of Acceptance - -9 9 Assigned to: Y. <br />Planning Case No. -ct. q 60-day Limit i 22-19 9 120-day limit i0(2-1/V( <br />Fees Paid: Account # Chelic <br />Application: 3 ri I ti ,';1 0 9 <br />Park Dedication: <br />Deposits: <br />Other: <br />Total: <br />NADATA\GROUPSICOMDENVORMS\DEVAPP.FOR <br />Receipt # <br />1/98 <br />