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Applicant <br />Little Canada, Minnesota <br />APPLICATION FORM <br />PAID <br />N? 524 <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment XX Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Gertrude Mostad 2720 Noel Drive 484 -5574 <br />(Name) (Address) (Phone) <br />Owner Same <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />2720 Noel Drive, Tract A, Registered Land Survey No. 387, Ramsey County, <br />Minnesota <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Divide tract into four single family lots by a Registered Land Survey <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. 1 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 />nature of Applicant) (Date) <br />WHITE — Office CANARY— Customer PINK —File GOLD— Planner Page 60 1° <br />