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Little Canada, Minnesota <br />APPLICATION FORM <br />PAID <br />N9 4E <br />Rec. No. <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />X Other Lot Split - $100.00 Planned Unit Development <br />Plan Review <br />Applicant Deborah G. North <br />(Name) <br />6733 -79th Ave. No. 'Brooklyn-.Park,MN 55445 <br />(Address) (Phone) 66 -8169 <br />Owner Deborah G. North 6733 -79th Ave. No.,Brooklyn Park,MN 55445 566 -8169 <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />55 East County Road C, Little Canada, MN 55117 <br />The West 80 feet of east 160 feet of south 10 acres of westZ of southwest' <br />of Section 6, Township 29, Range 22, Ramsey County, Minnesota. <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />t.ot to be split into two (2) parts -Back lot to be described as the North <br />175 feet of the West 80 feet of east 160 feet of south 10 acres of West z <br />of Southwest ; of said Section 6. Front lot to be described as the balance. <br />Reason for request is the new road to be constructed at the rear of the lot <br />in accordance with the Sherman - Boosaus Co. Subdivision. <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zor <br />ing and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outline <br />in the application procedures and hereby agree to pay all statements received from the City pertaining to additional applicz <br />tion expense. <br />WHITE —Of face CANARY— Customer PINK —File <br />icir :272/ <br />(Skim*, I. en ,.o A -- "-ant) <br />Page 57 <br />/z -/ `/ d'2 <br />(Date) <br />