Laserfiche WebLink
n ~. <br />Little Canada, Minnesota PAID <br />APPLICATION FORM Rec. No. <br />y8~/',t/ 7'7 <br />Comprehensive Pian Amendment ~' Conditional Use Permit <br />Zoning District Amendment <br />Text Amendment <br />Other <br />Applicant ,<" s ~ C ~~~~~~%` ~~-,~ <br />(Name) ~p~i~. ~„( f1~,,,-~ (Address) <br />~--q~ /~ ' MN. SS/op <br />Owner ~/d/~'( ~a5.v/~DY .+?S3-s i41/+,Mt/qNd/.~ , <br />(Name) /(Oftvic.L~- ,N1N (5 ~~i 3 <br />Property Location (Street Address and Legal Description): <br />i ~~ <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />/- 770-G/f 0 <br />/~4x 6S/ ~ ~Sj root <br />(oS'f-(asd S~oj <br />(Phone) <br />~~ <br />Description and/or Reason for Request (Cite Ordinance Sections): <br />,Gt i,~.l f~l O.vrfe ,( /~t1 ~/ P~/~.rcAinwPY ~ A~ u~~.~i;,.t~/1 Glt.~J/J <br />~62~/~f,,n~. /~~ ~,lt.~lJ_!~ /!a.(,(G~r Q. irN1J ~~...,~n T.l / ~ ~ c8~ ,//.i,e/ <br /> <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 />~e application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />t~.,,l expense. ~ / <br />Page 7 arxT (Date) <br />WHITE-Office CANARY-Customer PINK-File GOI lG_ol <br />