Laserfiche WebLink
• City of Mounds View,MN Page 2 <br /> Development Application <br /> 41, Present Use of Property <br /> 41 Undeveloped/Vacant ❑ Single Family Dwelling <br /> O Duplex/Two Family Dwelling ❑ Multi-family Dwelling <br /> ❑ Business/Commercial Establishment 0 Industrial Establishment <br /> o Other(explain) • <br /> Property Classification 41 Abstract 0 Torrens <br /> Description of Proposal 'EG2uecr,.,✓c 1 Ft tic- Trte- EgvvsENr o"ea L n d- le or <br /> FGewv-,, S&vAae i vk( O <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 /> Si ature of Applicant ��/— <br /> gn <br /> 6-'11,e6- 1'.7EaSLY'Ai — (,f11Lw�.'a0 LhNa til-oPMF�-'t <br /> Name of Applicant(typed/printed) <br /> PL- ----- <br /> • Signature of Property Owner <br /> Name of Property Owner(typed/printed) 0/1-K,.,i vo I A1.wr, Dain-°Pi'^Erb <br /> `,� L4kt P, s c -3 z <br /> Address of Owner /,II 1.)l'�-� 10 r` <br /> Phone Number of Owner ,Es-o—k 4`t <br /> • a FOR OFFICE USE ONLY <br /> Date of Submittal "2' - 9 / <br /> 4 . ',1 c Assigned to: <br /> Date of Acc lance t <br /> Planning Case No. ,411,75--q 1 60-day Limit 120-day limit <br /> Fees Paid: <br /> Account# Check# pt i <br /> c� .21/64P <br /> Application: I�o•d <br /> Park Dedication: oZ��`�1 - p$(P <br /> Deposits: SCO'0 U 'G � 1 <br /> : .Other. <br /> ‘..'04.t-4,:: Total: 115-6-°° • <br /> * :. . 1/98 <br /> _ N:DATA\GROUPS�COMDEV\FORMS\DEVIPP.FOR x <br /> s � � <br /> ;u3 ‘,J T• n-f a:' . i 3....Y-Y I 6 _ '.'8 t <br />