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,_" " _--�- c�� -".. �. ... . . . . _ .__. . _ . . :-_v . .__ ' i �"" "__a' "�,_ � 1 w"r_`_"_�cc' _ <br />� "' ' '_ -__"__ . _ .:� __ ....._.. ; . _ <br />f-"' ' _ � ._._ " ____. . ...""" . _ - <br />i <br />r <br />C��S�I C�G� <br />OM�ID� <br />.� <br />� ��� <br />[li ; ,�,7 <br />��°. <br />�gre'`S ' ParYne�S���s <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />PLANNING APPLICATIUN <br />2401 County Road 10, Mounds View, MN 55112 <br />(763) 717-4020 <br />�ax (651) 765-1660 <br />Please Type or Print Tnformation - Complete Both Sides of This Form <br />Applicant Information <br />Name of Applicant �O e 1 W h� tb ec 1L Telephone 6�2` 7Qd - D1 �S _ <br />Address �g50 cS�i'11/�4 1.ake �, Fax <br />V' 101.1 �1 ci S l%1 �2c�� �iMh SS 11 Z <br />E-mail: ��-- � h i't'b ec� e C 6� t a, t�'. Nr � <br />Interest in Property (check appropriate box) <br />� Owner of Property <br />❑ Lessee, Operator, Manager <br />O Other (explain) <br />❑ Contract for Deed Owner <br />� Agreement to Purchase <br />App/icants must provide evidence of interest in propeity at the time of app/ication, and if <br />you are not the owner of the property, you must either provide a/elter of permission f�om <br />the owner giving eonsent to the f"iling of this app/ication or the property owner must sign <br />tfiis app/ication for it to be ac�cepted. <br />Property Description/Proposal <br />Address or General location <br />Legal Description <br />Property Identification # (PIN #) <br /># of Acres <br />Current Zoning <br />7$50 Spr►►� Q L.d k e 1Qoz �. <br />Se� a�t'a.c.k�d . <br />0 23. 3 � Ooo <br />•g <br />�estd�.N�"�al <br />Type of Application (Please check the appropriate boxes) <br />