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Applicant <br />Owner <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />X <br />X <br />N° 81 <br />PAID 957Do•00 <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />RJ Marco 80 Minnesota Ave. Little Canada, MN 55117 651 484 -5635 <br />(Name) <br />Same <br />(Address) (Phone) <br />(Name) <br />Property Location (Street Address and Legal Description): <br />(Address) (Phone) <br />,North of Viking Drive & +/- 1/8 mile East of Rice Street. <br />see attached for legal description <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Site plan review & final plat to: Combine two existing lots, and portion of R/W turnback, <br />and vacate and relocate easements. <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zan- <br />nd Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />in Lne application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. <br />PAGE 153 <br />WHITE - Office CANARY — Customer PINK —File GOLD — Planner <br />77 <br />(Date) <br />raffltleeiiol <br />