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Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />4a00 <br />Other <br />NO 761 <br />PAID $200 <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />Applicant Thomas P. 7tingrnann 8696 42nd Street N., Lake Elmo, MN 55042 779 -��Q3 <br />(Address) (Phone) <br />(Name) <br />Owner Same <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description).} <br />Viking Drive road right -of -way adjacent to 216 Viking Drive <br />PIN 07- 29 -22 -41 -0002 <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Vacate portion of Viking Drive road right -of -way which would line up edge <br />of road with right -of -way on the southwest. <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 />WHITE -Office CAN <br />Page 2 <br />/ %74d,4 <br />(Signature of/Applicant) <br />GOLD—Planner <br />(Date) <br />nalinii731 <br />