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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 # O (a <br />Applicant's Name 10-. Address , Phone <br />--e. �r 4 C, • ee:_ —7 / o ' e5 <br />Owner's Name Address Phone # <br />f e...:► U ' ' gat 33 £ COc✓N, r n , L. Ci,,,,nA- 6s /- 2C7 -72Do <br />Property Location (street address and legal description, if known) <br />33 <br />Mt/ <br />sr 4, 1h -5�Sll <br />v' <br />Description and/or Reason for Request (cite ordinance sections, if known): <br />,t-> riC9- <br />r <br />In signing this application, I hereby acknowledge <br />that I have read and fully understand the <br />applicable provisions of the Zoning and <br />Subdivision Ordinances and current <br />administrative procedures. I 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 />ACTION- REQUESTED (check all :that apply) <br />Architectural Review <br />Concept Review <br />Conditional Use Permit <br />Final Plat <br />Planned Unit Development <br />Preliminary Plat <br />Signature of Applicant, if not Property Own <br />4110, `:- JP <br />Subdivision <br />Signature of Property 0--- `vn//erll'/// <br />(/ <br />X <br />Text Amendment <br />5 G) <br />00 <br />Variance <br />Date <br />Zoning District Amendment <br />Other: <br />'Total Deposit :$ <br />�t , <br />