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DEVELOPER DEPOSIT APPLICATION <br />City of Little Canada <br />515 Little Canada Road East - Little Canada, MN 55117 -1600 <br />651- 766 -4029 (Fax 651 - 766 -4048) <br />www.ci.little- canada.mn.us <br />Deposit # <br />Phone # <br />Applicant's Name /.///47165 /I 4 Iyfii/'Ul Address [ / <br />Do4,),uz/y L,D7'7 Ul �'//Y/0 /9ve Ajs7 /I //Ulf,47 SSOSZ ,/5/•079-7Y5 <br />D6) /Ut <br />Address Phone # <br />Owner's Name c <br />1110 �OSS 300 Z. /14/L2 C' A&ADA ,Pd i [,'1-{L-e Cu/Jod<4 &ia- zgra6 2 <br />V <br />Property Location (street address and legal description, if known) <br />LI14 L2 CRt%RDI)- ?D <br />OU <br />Description and/or Reason for Request (cite ordinance sections, if known): <br />& T r? slq o IRiJD IT - SIgess ON CRrz.cooSH <br />RI-LOLL) <br />ALLOW �! ' X6' I�At2 k.vRSK 1u CI`mci.�t0�3 St f"' aN <br />SLV 0t Lo jr -6 L( Cat- Loc,sk e0-1- i -GNC_e <br />.S1t)`2. <br />In signing this application, I hereby acknowledge <br />that 1 have read and fully understand the <br />applicable provisions of the Zoning and <br />Subdivision Ordinances and current <br />administrative procedures. 1 further acknowledge <br />the fee explanation as outlined in the application <br />procedures and hereby agree to pay all <br />statements received from the city pertaining to <br />additional application expense. <br />it ,tee, L- ii -.. <br />ACTION REQUESTED (check all that apply) <br />Architectural Review <br />Concept Rcvicw <br />Conditional Use Permit <br />Final Plat <br />Planned Unit Development <br />— <br />PrcliminayPlat <br />..a,, _,..,_ <br />Signature of Appp 4rttn'o`rgfj Fo-0ri'ficr <br />—"— <br />Subdivision <br />Text Amendment <br />Signature of Property Owner <br />d -2 <br />Variance <br />Date <br />Zoning District Amendment <br />Other: �e__%; ;�- <br />Total Deposit S <br />S00 <br />id <br />