Laserfiche WebLink
Applicant <br />Owner <br />N? 110G <br />Little Canada, Minnesota PAID jOOK) <br />APPLICATION FORM Rec. No <br />Comprehensive Plan Amendment Z Conditional Use Permit <br />Zoning District Amendment <br />Text Amendment <br />Other <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />MC-H N ET 12445 55 977 Li (. -`f >✓I.vho M n1 <br />(Name) (Address) <br />V�I(en p,er1i <br />-1.3o • ocine2 <br />WAyNE lort►uset.) 103o1 W ooO GResr DRIVE NW <br />(Name) OcN jL /� d/7 ) _IN) 55 43 3 (Phone) <br />Property Location (Street Address and Legal Description): mil" J `6 7 '369.3636 <br />3 Zo ( Cocct.c(1?" y 22( u <br />-ro( tftL P t5E yes ArP U 5.0e -(" Tht <br />F(49,124/ s. J off iJ a/97Eo ►2 //4 (e4: <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />1171 -- rni1eik /14 WI- ADP f (45 e 5 Tb jomp <br />--re xi- ti n/l aw r'V7 fr : EL-OCT Rot. C 5 (6 4 ; rAL -554. g ofree, p <br />GUN Ur((oN/tL. use Fele& r: St 6N PAC -6e <br />CONOfllONfL t4Se fejZvii rg.00F. or PAIMK/Pk <br />5' Virg lANc2 JZftoc. 'j'eD 52I PLyan7 16NJ1 <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 />he application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. <br />(Signature of Applicant) <br />WHITE— Office CANARY— Customer PINK —File GOLD— Planner <br />5-73•o <br />(Date) <br />