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c c <br />Little Canada, Minnesota <br />APPLICATION FORM <br />N? 509 <br />PAID $250.00 <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment X Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />SLUMBERLAND 3060 CENTERVILLE ROAD 482 -7500 <br />Applicant <br />(Name) (Address) (Phone) <br />Owner <br />KEN LARSON SAME SAME <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />3060 CENTERVILLE ROAD <br />LITTLE CANADA, MN 55117 <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />VARIANCE REQUESTED TO ALLOW CONSTRUCTION AND USE OF PYLON AND <br />BUILDING SIGNAGE TO CORRESPOND WITH REQUESTED USE OF ABOVE <br />ADDRESS AS RETAIL SPACE (CONDITIONAL USE PERMIT APPLICATION NO. 506) <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 />2/27/g0 <br />(Signature of Applicant) (Date) <br />WHITE— Office CANARY— Customer PINK —File GOLD — Planner page 33 <br />duo <br />