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Applicant <br />Owner <br />Little Canada, Minnesota <br />APPLICATION FORM <br />? 1015 <br />PAID 9!)C -, <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance �%� <br />Text Amendment X Subdivision /� y��, " 9c <br />Other Planned Unit Development <br />Plan Review <br />Masterpiece Homes, Inc. <br />(Name) <br />Sam & Donna Fasciciani <br />(Name) <br />Property Location (Street Address and Legal Description): <br />2905 Condit Street — Little Canada <br />127 East County Road C 651- 484 -3244 <br />(Address) (Phone) <br />2901 Condit Street 651- 484 -3475 <br />(Address) (Phone) <br />_reliminary Plat — Hidden Acres <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Final Plat — Hidden Acres <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ing and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />'ie application procedures and hereby agree to pay all st ents received from the City pertaining to additional applica- <br />t,_. ■ expense. �/ <br />gnature of <br />NHITE— Office CANARY — Customer PINK —File GOLD — Planner <br />ant) (Da <br />is <br />