Laserfiche WebLink
~~n Z22i <br /> Lattle Canada, NlinneS®ta PAID s~-~1 <br /> APPLICATION FORt~i Rec. No. <br /> Comprehensive Plan Amendment ~ Conditional Use Permit <br /> Zoning District Amendment Variance <br /> Text Amendment Subdivision <br /> Other Planned Unit Development <br /> - ~~-~-y~,~[r <br /> ~ ry Plan Review <br /> Applicant ~ ~ .r ~1~' ~ <br /> (Name) 'y1~1~ (Address) ~ ~ y,~'hone~l. i <br /> Owner ° 6'~ lC. ~ ~ ~ ~ cam d~ <br /> (Name) (Address) (Phone) <br /> Property Location (Street Address and Legal Description): 1 <br /> ~ ~S~ cu= ~~2 ~ <br /> Description and/or Reason for Request (Cite Ordinance Sections): <br /> ~"TG-~ ~ C2l~~ CpIOaT/7'> d'>o C3~ ~~0 M~? -Y <br /> l~'rr/~-y~i ~ra~s'~ ~S 6d~ ~ °~e~-~~S ~~.S~nJ~e 1~v7 /o~ <br /> .~h~ C ~ ~n~.~ . S~~ /sic Q ~ _F <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. 1 further acknowledge the fee explanation as outlined <br /> in the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br /> <br /> tion expense. <br /> (Sianaiure of pplicant) ( ate) <br /> <br /> WHITE-Office CANAR V-Customer PINK-Pile GOLD-Planner i;~~o <br /> <br />