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Little Canada, Minnesota <br />APPLICATION FORM <br />N? 503 <br />PAID $250 00 <br />Rec. No <br />X <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 Brad & Annette Howe 2141. DeSoto Street 771 -9270 <br />(Name) <br />(Address) (Phone) <br />(Same) <br />Owner <br />(Name) <br />(Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />Property ID# 04- 29 -22 -21 -0036 9M FC 623 <br />Address - Approx. 974 County Road D <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Would like to move an existing brick rambler (home) onto lot <br />that meets easement regulations of Little Canada. Home is <br />now located behind Pavillion Place Shopping Center in Roseville. <br />In signing this application, 1 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 />(!/. �- 1,29 /9n <br />(Signature of ApsSlicant) (Date) <br />WHITE— Office CANARY — Customer PINK —File GOLD — Planner Page 33 <br />o <br />