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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 />AS tiL *mite *id <br />Owner's Name /'j� { /'� (,yry— //..'Address •. • Patin t IT) <br />l.J6J l • sY ll A/ i'�,�,✓ <br />Property Location (street address and legal description, if know <br />Deseription and/or Reason for Request (cite ordinance <br />f n7r 16-t tas-t -° <br />comfy-Lac (0Q bittern <br />to c&S -1r) scpAr, 1 5tM ., -hhiK\ akrtGVICQ cAt. +C) lI F <br />ACTION REQUESTED (check alt hat apply) <br />In signing this application, I hereby acknowledge <br />that 1 have read and fully understand the <br />applicable provisions of the Zoning and <br />Subdivision Ordinances and current <br />administrative procedures. 1 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 />i •, :ferenf App t ; 'f not Property Owner <br />Architectural Review <br />Concept Review <br />Conditional Ose 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 />Total Deposit $ V <br />