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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.cl.litfle- Canada, mn, us <br />/<: <br />Applies Namo Address <br />, i(ne'r CCTV Cali L k( t So 1-. <br />Phone ft <br />ifc (c& ` k -tcF/U <br />r--iP���, yR� <br />Owes Name ( Address 'V• KGM(m Phone N i <br />3cz as C e.., <br />Property Lacalion (street ocdress and legal description, if tuww k <br />XI C.rnin..( .¢ A,e,rr 4t k, m41 <br />/ 1 <br />Desmcri�ption and/or Reason Car Raquel (cite ordinance PI <br />[ Ji �ror r�r� St sitor romn2'clnQ <br />t <br />h.Ar1yQ) <br />tasinaA <br />ii B ilia() q Pp o.nDGS rwo.ogt. &r ftsiluizQ <br />bL ., Ott +t# t(1 14, 4111 lb* At , "di <br />.110 4/1LtJl 0 . a*: ■ a i <br />• <br />\, \ -, Y.VEAc S? ftry 5 ectck t-- f) <br />Cth\o - ■4 1 S-O --4v t p.,ugvz i,u I +0 1,140-1 <br />In signing this application, Thereby aekmowledgo <br />that I have read and fully understand the <br />applicable provisions of the Zoning and <br />Subdivision Ordinances and current <br />administrative procedures. 1 anther acknowledge <br />this fee explanation as outlined in the application <br />procedures and hertby agree to pay all <br />statements received from the city pertaining to <br />additional application expense. <br />ACTION REQTIESTED (check all at apply) <br />Architectural Review <br />Content Review <br />Conditional Use Permit <br />X <br />pinal plat <br />planned Unit Development <br />Preliminary Plat <br />Si.i:fl$otapp not Propcny Omter <br />Ore <br />Sigo*re oot ll `Et ,► Ear� <br />C41j1�' <br />r aPA <br />Subdivision <br />Text Amendment <br />Variance <br />Rltrr <br />Date <br />Zoning District Amendment <br />Other; <br />Total Deposit $ <br />2(1) <br />CZ <br />2 <br />(r� <br />