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Application fees are non-refundable. <br /> Present Use of Property Church <br /> Property Classification ❑ Abstract ❑ Torrens <br /> Description of Proposal (attach additional supporting documentation if necessary) <br /> Conditional Use Permit for Digital Sign. (See Attached <br /> BY MY/OUR SIGNATURE ON THIS APPLICATION, I HEREBY DECLARE THAT, TO THE <br /> BEST OF MY KNOWLEDGE, THE INFORMATION PROVIDED IS TRUE AND ACCURATE. <br /> Plea*e Note: Application fees are nonrefundable. Applicants are responsible for all costs <br /> incurred associated with the filing, review and processing of development applications. Such <br /> fees to be paid in escrow up front or upon receipt of statement from the City of Mounds <br /> View. Fees may include, but are not limited to, costs for consultants retained by the City, <br /> consultant planning services, attorney, and engineer fees. A deposit may also be required to <br /> cover costs of public notices, materials and staff time spent in the review, research or <br /> preparation of materials associated with each application. The applicant shall be responsible <br /> for all reasonable incurred costs in excess of the initial fee and/or deposit amount. Any <br /> portion of the deposit not spent or encumbered shall be refunded to the applicant within 30 <br /> days after consideration of the application is completed. Payment of park dedication fees is <br /> required with subdivision applications. Application fees are not refundable. <br /> I ACKNOWLEDGE THAT I have read all of the information listed in the Planning Application <br /> and fully understand that I am responsible for all costs incurred by the City related to the <br /> processing of this application. <br /> Name of Applicant(typed/print Calvin Woods <br /> Signature of Applicant <br /> Name of Property Owner(typed/printed) Free Life Family Worship Center <br /> Signature of Property Owner <br /> Address of Owner 7687 Long Lake Rd Mounds View, MN <br /> Phone Number of Owner 763-7107819 <br /> E-mail of Owner freelllefamilywc®aol.com <br /> FOR OFFICE USE ONLY: <br /> Date of Submittal i _ Date of Acceptance: _ <br /> 60-day Limit _ 120-day limit: <br /> Planning Case No(s) Assigned to: <br /> Fees Paid: Account# Check/Credit# Receipt# <br /> Application: <br /> Park Dedication: <br /> Escrow: <br /> Other: <br /> Total: <br />