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City of Mounds View, MN <br />Development Application Page 2 <br />Present Use of Property <br />O Undeveloped/Vacant 0 Single Family Dwelling <br />III <br />O Duplex/Two Family Dwelling 0 Multi -family Dwelling <br />)cr Business/Commercial Establishment 0 Industrial Establishment <br />O Other (explain) <br />Property Classification 0 Abstract <br />Description of Proposal <br />Torrens <br />De-‹ irc) "f-X./eiv Ago <br />6-1/z,c)c-e. ek- - <br />e -C e 77J7 -ro c 2 S /2, <br />BY MY (OUR) SIGNATURE ON THIS APPLICATION, IJEY DECLARE THAT, TO THE BEST OF MY <br />KNOWLEDGE, THE INFORMATION PRO <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 />Date of Submittal <br />Date of Acceptance <br />Planning Case No. <br />cAliM 24 rj-ek, <br />********** ******* <br />FOR OFFICE USE ONLY <br />Assigned to: <br />S — 01 60-day Limit 120-day limit <br />Fees Paid: Account # Check # Receipt # <br />Application: .r5 0 °° )00 I ) 14;7 'LP f tc* <br />Park Dedication: <br />Deposits: <br />Other: <br />Total: <br />NADATAAGROUPS\COMDEV\FORMSZEVAPP.FOR <br />1/98 <br />