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Property address: �3�'I c7oj4 M Mounds View, MN 55112 <br />Owner name & address (If address is different than above): <br />Complete the box below by drawing precise property lines, structures, and separation distances. <br />30 f i <br />rt� <br />100 A <br />_1 <br />(Example on reverse side) G( (D US I- <br />-VV-ON T <br />Of <br />�JWSC <br />`tee c InuLkse <br />➢ Show all measurements in feet and inches (e.g. 10'- 6") <br />➢ Show all current buildings, structures, and paving located on the property and property line distances <br />➢ Show all proposed structures or paving surface sizes and property line distances <br />➢ Show all utility easements, right-of-ways, applicable street(s) and names, and sidewalks if necessary <br />OFFICE USE ONLY <br />Reviewed for Zoning Compliance: Approval date: <br />