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08-25-2004 Council Agenda
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08-25-2004 Council Agenda
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Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment X Conditional Use Permit / A 3-s- ie° <br />1024 <br />PAID X350 <br />Rec. No <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />James and Dawn Kulousek -a2 n eeA pp licant (i' >R <br />— 26, $5.--2c1 <br />(Name) (Address) (Phone) <br />C Dv ?�C4'h'd' MA JJ IJ1 <br />Owner <br />Same As Above <br />(Name) <br />Property Location (Street Address and Legal Description): <br />782 Allen Avenue <br />(Address) (Phone) <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Construct a second garage. <br />•n signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />nn and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />le application procedures and hereby agree to pal statements received fro. jilt-pertaining to additional applica- <br />tion expense. j <br />(Date) <br />(Signature of Applicant) <br />MITE— Office CANARY— Customer PINK —File GOLD— Planner <br />@ <br />
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