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X <br />Little Canada, Minnesota <br />APPLICATION FORM <br />PAID <br />Rec. No. <br />No. <br />ADD <br />Comprehensive Plan Amendment Conditional Use Peel lit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other - Easement Vacation Planned Unit Development <br />Plan Review <br />Applicant John C. Kuehn, Esq. <br />Leonard, Street and Deinard, P.A. <br />150 South Fifth Street, Suite 2300 <br />Minneapolis, MN 55402 <br />(612) 335 -1717 <br />Attorneys for Owner <br />(Name) (Address) (Phone) <br />Owner Independent School Dist. No. 623 <br />1251 County Road B2 West <br />Roseville, MN 55113 <br />(651) 635 -1600 <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />See Exhibit A. <br />Description and or reason for Request (Cite Ordinance Sections): <br />See Exhibit B. <br />In signing this application, I hereby acknowledge that I have read and fully understand the <br />applicable provisions of the Zoning and Subdivision Ordinances and current administrative <br />procedures. I further acknowledge the fee explanation as outlined in the application procedures <br />and hereby agree to pay all statements received om the City pertaining to additional application <br />expense. <br />3761476.1 <br />2 <br />