Laserfiche WebLink
Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />N9%3 <br />PAID .C5C) <br />Rec. No. <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />Applicant c od--P 4T J �l / °f' rC 'O emild t,F yt • r -rrnc <br />(Name) (Address) (Phone) <br />Owner <br />_C. 4/17 45" 4' 4 ax <br />(Name) <br />Property Location (Street Address and Legal Description): <br />(Address) ? -• (Phone) <br />Conn ' ✓1 A/0 74;1 ,4/c,7 <br />S/,e 9 s "vii -etr 41,-/ <br />Z 4 iY „a° <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />LZ 2,15 4j" <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 CANARY — Customer PINK —File GO LL <br />Page 1 ? <br />Pa <br />9 it) (Date) <br />