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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 lk /Ocsq <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 />Istatements received from the city pertaining to <br />additional application expense. <br />1 (1L4Atl/'/i( ... 411,.17/770/77- <br />Sign4ur of Applicant, if not Property Owner <br />Signature of Property Owner <br />Date <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 />Subdivision <br />Text Amendment <br />Variance <br />Zoning District Amendment <br />Other: <br />Ap ticanrs Name Address <br />Phone # <br />Owner' i ame <br />Address Phone ft <br />ItElnG ---71----51 Ma—rfr Z 17583 Lee ore -?. Li 1P <z� a; /t' //J(SS7 /7 41;2/c r <br />Proper ocation (street address and legal description, if known) <br />Lo—I— ( <br />K ( <br />, .0/ (5c' :1----i1 1771.21 AC,W )(V? <br />Descrip on and/or Reason for Re nest (cite ordipance sections, if known): <br />3- 1-srcce. c3 veG,lra,( -s; id o1. <br />,%pm 41, rcr pea-Pond <br />u <br />C o I p yvy vi +1 _eci <br />.i <br />et_,ke ' <br />3, u 347 = /c02 y <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 />Istatements received from the city pertaining to <br />additional application expense. <br />1 (1L4Atl/'/i( ... 411,.17/770/77- <br />Sign4ur of Applicant, if not Property Owner <br />Signature of Property Owner <br />Date <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 />Subdivision <br />Text Amendment <br />Variance <br />Zoning District Amendment <br />Other: <br />