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Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />Applicant <br />Gordie Howe <br />(Name) <br />xx <br />PAID <br />N? 546 <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />127 East County Road C, Little Canada <br />(Address) <br />484 -3244 <br />(Phone) <br />Owner Doris Schletty 417 West County Road C, Roseville 483 -1983 <br />(Name) (Address) (Phone) <br />Property Location (Street Address and-Legal Description): <br />Edgerton Street and Sunrise Drive, also 2525 Edgerton Street (see attached <br />legal and plat) <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />To plat the property for single family homes —R -1, <br />In signing this application, I hereby acknowledge that 1 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 statem received from the City pertaining to additional applica- <br />tion expense. // /� <br />(Signature,.pa AAppli t) Date) <br />WHITE— Office CANARY — Customer PINK —File GOLD — Planner I-' <br />OCI <br />