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DEVELOPER DEPOSIT APPLICATION <br />City of Little Canada <br />515 Little Canada Road East - Little Canada, MN 55117 -1600 <br />651 - 766 -4029 (Fax 651 - 766 -4048) <br />www.cilittle-canada.mn.us <br />Deposit # 1279 <br />Applicant's Name /��� _ Address Phone f <br />fir) e-e Larson /03s 0 Sod-; 7`tvf, et, A), ., Si 1I w v,, MN 3-7S-DE, . 6s7 -9;26 -38 -03 <br />Owner's Name Address Phone il <br />Am brosc W.. j nt+ Es-t ---e <br />Property Location (Street address and legal description, If known) <br />//5 7 vClrettom Av -eIlve -, 1-11-11-1-e (amp) . 11 At • //7 <br />/07 45-hre tavi / \vei ue ., 1_141..e 61.1vr)a J'iA/ Sl-p7 — avows Jim <4- i l aro <br />, <br />C2r e,crr '9D -sgay <br />Description and /or Reason for Request (cite ordinance sections, if known): �I <br />4 S,Impe sa 'Ivlsiovl 1h fawL,-ti 3 vielS 6Y-e --1ro lay crear&, Uctt of 7 Ic <br />Avs---t^2 61l Ave. `ant ( A 'i s I be stL a; ah % e i}r '- (a)m'dt5 hom?. <br />` rece1 T.3 )5 --1-p 194 5-013 as a bu'tIU4(01,e ?o -For a --kin-lbw Sivvy <br />-e IA'io /L <br />1 'is Io be <br />L.... <br />aJ jo1 e ± -Ike nor9A- vt bov *r r-$ Li-A,e <br />arne . ro. tec) C' <br />dt I07 .41-5Irm4;ovi -Ave- <br />In signing this application, I hereby acknowledge <br />that 1 have read and fully understand the <br />applicable provisions of the Zoning and <br />Subdivision Ordinances and current <br />administrative procedures. I further acknowledge <br />the fee explanation as outlined in the application <br />procedures and hereby agree to pay all <br />statements received from the city pertaining to <br />dditional application expense. <br />ACTION REQUESTED (check all that apply) <br />Architectural Review <br />Concept Review <br />Conditional Use Permit <br />Final Plat <br />Planned Unit Development <br />Preliminary Plat <br />Signature of Applicant, if not Property Owner <br />V <br />Subdivision <br />"�SO <br />Signature of Property Owner <br />' s—�e�e t, ' /9, a o /s <br />Text Amendment <br />Variance <br />r <br />Date <br />Zoning District Amendment <br />Other: <br />Total Deposit $ <br />-252) <br />