Laserfiche WebLink
C <br />Little Canada, Minnesota <br />APPLICATION FORM <br />�T° 8t5 <br />PAID <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment A Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant /CI �/< �7)i w L <br />(Name) <br />Owner <br />/GSE.VIKiro6- 4,R) Vie <br />(Address) <br />6.51- y g.3- 8/s" <br />(Phone) <br />(Name) <br />Property Location (Street Address and Legal Description): <br />J S !_-",4,i 1///<)11)6- DF I ✓F <br />(Address) (Phone) <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />RENS y'w SE"ngAc�' UM,Qui1VLE <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 />tion expense. <br />Page 68 <br />WHITE— Office CANARY— Customer PINK —File GOLD— Planner <br />/,/ `% / <br />int) (Date) <br />c�n-s� io <br />