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Little Canada, Minnesota <br />APPLICATION FORM <br />991 <br />PAID $200.00 <br />Rec. No. <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />X Other Vacation <br />Planned Unit Development <br />Plan Review <br />Applicant Teresa Estes and David Miller 2883 Condit Street <br />Owner <br />(Name) <br />481 -7062 226 -3506 <br />Teresa Estes <br />(Address) (Phone) <br />(Name) <br />Property Location (Street Address and Legal Description): <br />(Address) (Phone) <br />Nadeau Road lying between Burke Lane and Condit Street <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Requestion vacation of unimproved road right -of -way <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 />th° application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />ti pense. <br />it TE— Office <br />CANARY— Customer PINK —File GOLD — Planner <br />(Signature nf�onplicant) <br />(Date) <br />