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Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />rev — S -3.SCU <br />Stroman Construction & Design <br />Applicant Duane R. Stroman <br />Owner <br />Tkr‘? 942 <br />PAID 3SU no <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />6223 4th. Ave. SouthRichfield, MN 612 -369 -3131 <br />(Name) <br />(Address) (Phone) <br />J3 -2/c/9 <br />Rob Anderson 121 E. County Rd. C Little Canada 651 -483 -6600 <br />(Name) <br />Property Location (Street Address and Legal Description): <br />(Address) (Phone) <br />121 E. Little Canada Road, N. 397 feet of the S. 1244 feet of the W. 247.5 <br />feet of the S.E. 1 Sec. 6, T29N, R22W, Except part thereof lying S.E. of <br />County Road C as opened, and if the location of the improvements located <br />on said land. <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Architectural Review <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 />in the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />:ion expense. <br />(Signature of Applicant) <br />WHITE— Office CANARY — Customer PINK —File GOLD — Planner <br />(Date) <br />