Laserfiche WebLink
/~ <br />lY~ 1089 '! <br />Little Canada, Minnesota PAID ~._ <br />APPLICATION FORM Rec. NG. <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant ~~~c-.~..~~ r>1~cR,~tirl5oil 30~j~ L~~br~rr ~5 A-`'~~~1'~i51 <br />(Name) (Address) (Phone) <br />Owner~~:1'~~~-r f^'~ ~b~~nsar~ 303,E ~-c~cr~ low l-~-I~L~'~S'ISa- <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br /> <br />_, ~ Ll l~ P z ~l c~ y .~~ ~. z a ~ e~ ~ ~ <br />~3 0 ~l U ~ :L nJ cv y , .~.9 ..3- ~ , ~- 1 . v G I <br />Description and/or Reason for Request (Cite Ordinance Sections): <br />'t' o -~ 7 r <br />t_~bn; L ~ <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 />ii ~ application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tiu~~ expense. <br />~~~.~-~ ,~,. Cam..-~. ~ - aa. - c tv <br />(Signature of Applic t) (Date) <br />WHITE-Office CANARY-Customer PINK-Pile GOLD-Planner se <br />