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i V L V V V V' V I 1 111 <br />IIIVU'VIYIUV 11 \/IIYI\ I \VVL/ IIVVVV <br />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 # /a(p(-/ <br />Applicant's Namc <br />.-1PHN t- .,- <br />2q \4.. <br />Address L ... .) <br />e. cs .S to -th—> ` ,'‘ <br />Phone M <br />&51 " zcar411 <br />Phone k <br />.; <br />Owner's Name <br />et <br />Address <br />Property Location (street address and legal description. if known) <br />gal47 :1- R, i• rr do 'uAI %„ d °S 11 <br />Description and/or Reason for Request (cite ordinance, sections, if known): . <br />ka WLL Be, r, SiG LO P.tts -L-d ri- c ?fcreere tI,U-ro <br />• <br />iI <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 />additi•na licatior•pcnsc. <br />ACTION REQUESTED (eheck all that apply) 11 <br />Architectural Review <br />Concept Review <br />90(, <br />`—' <br />Conditional Use Permit <br />Final Plat <br />Planned Unit Development <br />Preliminary Plat <br />C.A )y S ig1 a4uUe JfLV_ Cant i(bot "perry Owner <br />/'�/ G 1v POA <br />Subdivision <br />r iEnrature of Property Owner <br />_7_ ,P 6, ,_a[c. <br />Test Amendment <br />Variance <br />Data <br />Zoning District Amendment <br />Other: <br />Total Deposit $ <br />900 <br />' — <br />