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Little Canada, Minnesota <br />APPLICATION FORM <br />N? 545 <br />PAID ....100,22_ <br />Rec. No. <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment X Subdivision Lot Split $100.00 <br />Other Planned Unit Development <br />Plan Review <br />Applicant Direct Builder's, Inc. 1477 -80th Avenue N.E. Mpls. 55432 785 -1443 <br />(Name) (Address) (Phone) <br />Owner <br />Ugene — Elizabeth Frochle <br />(Name) <br />Property Location (Street Address and.Legal Description): <br />Back half of 67 West County Road C <br />Same As Below 484 -3961 <br />(Address) (Phone) <br />(XX Rosewood Drive — Centre Place) <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />In signing this application, I her get ttolGi& a that I have read and fully understand the applicable provisions of the Zon- <br />ing and Subdivision Ordinances current administrative procedu =.. further acknowledge the fee explanation as outlined <br />ents r . Ived f . m th> City pertaining to additional applica- <br />in the application procedures and hereby a r 11fq,��y all sta <br />tion expense. rDF u�L N�1 <br />(Si <br />ureoPa•e 6tL <br />WHITE— Office CANARY— Customer PINK —File GOLD —Pla ner <br />