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DEPOSEIT APPUICAi SON <br />City of Little Canada <br />515 Little Canada Road East - Little Canada, MN 55117-1600 <br />651-766-4029 (Fax 651-766-4048) <br />www.ci.little-canada.mn.us <br />Deposit # /39 vc <br />Applicant's Name Address - Phone # <br />Q eiej / YC kiare. 9,4 o �iGe l�Cv <br />X; ���� 5 / i v <br />Owner's Name AddressPhone # <br />Property Location (street address and legal description, if known) <br />`a) amu, ' Drive 1 t' 6.1,1,- / S: <br />-_s1( <br />Description and/or Reason for Request yite ordinance sections, if known): <br />1d", e . o / 6 Ltt II PfDo ,i1/1'./-4 cr <br />Me b 16H- 4(-- tlt✓e Lt S 4itzzr< ce_ I K 1/?Ad UiPl 4 44,70; l A4 r C , Ito <br />Ie�1,, ©n "0 ./-b e .is'riat' '70 fA 'e ftei` ar 41-e 67-4,4 2w C-41 * `f3 <br />4's o✓e / ?,5 reAhf dic4tXofite c4 lite 41 /A telb( _rill,%¢9c Qmet TU £ to ' t ✓ <br />iC <br />`tr 21 j <br />ACTION REQUESTED (check all that apply) <br />In signing this application, I hereby acknowledge <br />that I have read and fully understand the <br />Architectural Review <br />I <br />applicable provisions of the Zoning and <br />Subdivision Ordinances and current <br />administrative procedures. I further acknowledge <br />the fee explanation as outlined in the application <br />procedures and hereby agree to pay all <br />statements received from the city pertaining to <br />additional applica ion expense. <br />yJ� �, j �,� <br />Concept Review <br />Conditional Use Permit <br />Final Plat <br />Planned Unit Development <br />— <br />1Prehrntnary Plat <br />I <br />_ _ . -_ _....... <br />_gee) <br />Signature of Applicant, if not Property Owner <br />.....---11--- 4 -'711 -••••/(--Subdivision <br />Signature of Property Owner <br />1�L —l' <br />Text Amendment <br />Variance <br />Date <br />Zoning District Arrtendraent <br />- <br />Other: <br />