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Little Canada, Minnesota <br />APPLICATION FORM <br />— . -•=-- Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment / <br />Other P%(,� ( - c.Lp/- <br />ya <br />Are <br />i <br />PAID 1 X 42,4 <br />Rec. No.___ -- <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />Hpplicant Peter and Daniel Tacheny 49 S. owasso Blvd. W. Little Canada, MN 55117 651- 484 -146 <br />(Name) (Address) <br />Same as Above <br />Owner <br />(Name) (Address) <br />rroperty Location (Street Address and Legal Description): <br />2990 Rice Street see Exibit A for a legal description <br />(Phone) <br />(Phone) <br />^ascription and /or Reason for Request (Cite Ordinance Sections): <br />Plan review for a development of 8 units of commercial office "town home" <br />type buildings simular to the Blacktern office development in the 3200 block of Rice <br />Street. <br />PIA D er,P11— <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />g and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tiL xpense. <br />(Slgnat'rt of Applicant) (Decal <br />rnvn nv—r. gtnrar PINK —File GOLD — Planner '+$ "t0 <br />