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Little Canada, Minnesota <br />APPLICATION FORM <br />N9 781 <br />PAID $700 <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision 70) <br />Other Planned Unit Development <br />Market Place Ce nter Llmitedd L iabil� ity Cu. <br />Applicant /i et % Z<1t //�oi77` v‘ <br />e'*144/o6.s <br />(Name) (Address) (Phone) <br />Bob Grootwassink, 644 Flying Cloud Drive, Suite 203 <br />Owner 944 -1665 <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />2900 Rice Street, Little Canada, MN 55113 <br />Plan Review <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Subdivision of Tracts A and B from Market Place Shopping Center Property. <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 />s <br />"(Signature of Applicant) Page 27 (Date) <br />WHITE— Office CANARY— Customer PINK —Pile GOLD — Planner -,u <br />