Laserfiche WebLink
• ~ ~' <br />U <br />Little Canada, Minnesota PAID- o0 <br />APPLICATION FORM Rec. No. <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment <br />Text Amendment <br />Other <br />Applicant ~/~-1' Y I ~' j~ ~~r I C <br />(Name) <br /> <br />(Address) <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />(Phone) <br />Owner '~~~- '~' r I / ~ I CKS c i ~~,~ , ~ ~ 4. i~~ <br />- (Name) ~ (Address) (Phone) <br />Property Location (Street Address and Legal Description) <br />i <br />Description and/or Reason for Request (Cite Ordinance Sections): \/ <br />~nL l Gi ~ i1 Se. L j r_'L9 ~ ~ A. '3 ~~ ~ ~ ~~` G~? `2 C'T <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ing and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />i; ;application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. <br />~~ ~~ %~ , ~ <br />... <br />(Signature of Applicant) (Date) <br />'NHIT[-Office CANARY-(;untomer PINK-Pile GO LU-Planner •,nii~ <br />