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City of Mounds View,MN <br /> Page 2 <br /> Development Application <br /> Present Use of Property III <br /> ❑ Undeveloped/Vacant Single Family Dwelling <br /> ❑ Duplex/Two Family Dwelling ❑ Multi-family Dwelling <br /> ❑ Business/Commercial Establishment ❑ Industrial Establishment <br /> ❑ Other(explain) <br /> Property Classification 0 Abstract Torrens <br /> Descriptionf of Proposal A-D b Z' I a , T iN� ���'xi�S Cil JV c <br /> /114A e <br /> c yAz R eu T gAizsA f.L I-r r',S .'r}i7P <br /> c/ h, d'4.-T1 d/+r 1-/Y((' en-1.p}4. <br /> BY MY(OUR)SIGNATURE ON THIS APPLICATION,I�1�DEACCLARE <br /> THAT,TO THE BEST OF MY <br /> KNOWLEDGE,THE INFORMATION PROVIDED IS TRUE <br /> AN <br /> Signature of Applicant -4° T /6 <br /> 7. -- P0-1-"2-‹ <br /> Name of Applicant(typed/printed) <br /> -7 .---- ir <br /> Signature of Property Owner �` " <br /> Name of Property Owner(typed/printed) 0 2 A(. -1) ' A14 c/C a )1 eft' <br /> III <br /> Address of Owner <br /> S e // 5— /i//tfy 57`1' c RI) <br /> iffe) VA/PS �/` E 11Ate <br /> Phone Number of Owner 7 g Y' s- 0 <br /> *********************************************************** <br /> FOR OFFICE USE ONLY <br /> Date of Submittal 5.--1 3- a Assigned to: <br /> Date of Acceptance 60-da Limit 120-day limit <br /> Planning Case No. Y <br /> Fees Paid: Check# Receipt#Account# <br /> Application: 10o:361.-71 Cf ,366, <br /> ��9 00 q <br /> Park Dedication: <br /> Deposits: <br /> Other: • <br /> Total: <br /> 1/98 <br /> N:\DATA\GROUPS\COMDEV\FORMS\DEVAPP.FO R <br />