Laserfiche WebLink
1 <br />IComprehensive Plan Amendment �% Conditional Use Permit <br />Zoning District Amendment ��/ Variance <br />Text Amendment —____ //` Subdivision <br />Other Planned Unit Development <br />Plan Review <br />89.11 -N9 459 <br />Little Canada, Minnesota PAID 9'6V <br />APPLICATION FORM Rec. No a / G <br />Applicant ?CI I f){V 1 jc{iac. C2oo P ?C. P. X -3&V <br />y' (Name) (Address) <br />Owner -Ci ' PoJacifl. Cfodo P0,9-/ 14g'2 It4iPPEtwis M,U •2 �0c2' <br />(Address) (Phone) <br />(Phone) <br />(Name) <br />Property Location (Street Address and Legal Description): <br />CoppeiZ DP CzogrifoliT% 6 `ct fr6 ' i20;'V <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />rgecrnn i Nr frfai Par - 11 ,M6c • Finnic( tors <br />1 tommuctot <br />VtD4 (5}Ic a; G UG- f- 4i13t t, I 10 Etc of ‘70 0( <br />po? 2e ti(1■?2<: : P ! P 00 Rewwew <br />In signing this application, I hereby acknowledge that 1 have read and fully understand the applicable provisions of the Zon- <br />inp --+d Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />in - . application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. <br />Page 43 <br />, pf(Lt6, Fick) <br />(Signature of Applicant) (Date) <br />WHITE— Office CANARY — Customer PINK —File GOLD — Planner <br />.aRm �o <br />