Laserfiche WebLink
City of Mounds View,MN <br /> Development Application Page 2 <br /> Present Use of Property IIII <br /> ❑ Undeveloped/Vacant X. Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling 0 Multi-family Dwelling n O <br /> O Business/Commercial Establishment ❑ Industrial Establishment I`, `,, <br /> ❑ Other(explain) ,I(.2.-,f. <br /> 7. <br /> Property Classification ❑ Abstract ❑ Torrens <br /> Desai id=of Propos��al �rCJit 1P �.,•+/j�e .To ��� <br /> r- J 4PPf Th', 4 C •2-.. , <br /> -A." • -,- C; ♦ -e' a a+' i 10' ( /V ./r ' .i-� <br /> S lo fel. r toc..1 ..c.ae_ pJ e/-'lam.v Ai t 11f.+� y,{111 A•l C_ i/T tp,e Z-� I7'�.a..J <br /> ) <br /> • 1i/ //3 Q /.41L/J 4/S0 - 'e #"br in . <br /> 1 <br /> BY MY(OUR)SIGNATURE ON THIS APPLICATION,I HEREBY DECLARE THAT,TO THE BEST OF MY <br /> KNOWLEDGE,THE INFORMATION PROVIDED IS TRUE ACCURATE. <br /> • <br /> Signature of Applicant e • <br /> n/ <br /> Name of Applicant(typed/printed) //i"'t •Leedri—C— <br /> Signature of Property Owner •1:1i- III <br /> ..... <br /> Name of Property Owner(typed/printed) 7774-1 S/e.‘t T-e- <br /> Address of Owner <br /> Phone Number of Owner <br /> ************************************************************************************************ <br /> FOR OFFICE USE ONLY <br /> Date of Submittal 7- 9 f <br /> Date of Acceptance 7—A l. q 7' Assigned to: <br /> Planning Case No. 60-day Limit 120-day limit <br /> Fees Pad: <Account# Check2# Receipt# • <br /> Application: J5 00 /04 3:1 1 Je qg zQX'493 <br /> Park Dedication: <br /> Deposits: <br /> Other: III <br /> • <br /> • Total: <br /> 1/98 <br /> N:\DATA\GROUPS\COMDEV\FORIvtS\D EVAPP.FOR <br />