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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 t; /Q p <br />Applicant's Name Address Phone n <br />ED Nov4tc 2 g7r ce vTau /the 80 (6c-e) .7- 10 ?6fl <br />Owner's Name t� Address 1I ie Phone <br />Property Location (street address and legal description, if known)) <br />V, 7i / 3"-' c era � ert u / ha, Roe <br />/y L /� /� <br />rteskrl ,1 Asal tr .et ciey / ?Vs , $? ✓'7 1. /L <br />Description and/or Reason for Request (cite ordinance sections, if known): <br />.1-.0 £,LJ ®ny 4/.t'rr79 eve-Jr cn 'ks&a„ 60 <br />Acs <br />J441-1z <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 />/X\ <br />Conditional Use Permit <br />3 ` /'\ <br />J C <br />Final Plat <br />Planned Unit Development <br />Preliminary Plat <br />Signature of <pplicant, if not Property weer <br />/ <br />Subdivision <br />Signature of Property Owner <br />— <br />Text Amendment <br />Variance <br />—" <br />Date <br />Zoning District Amendment <br />Other: •. - - --±4____ <br />... <br />,( : <br />_____ <br />Total Deposit fS / , j"() <br />