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Little Canada, Minnesota <br />APPLICATION FORM <br />NO <br />525 <br />PAI D <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment XX Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant Fr. Robert Fitzpatrick <br />(Name) <br />(Address) (Phone) <br />Owner St. John's of Little Canada 380 Little Canada Road 484 -2708 <br />(Name) <br />Property Location (Street Address and Legal Description): <br />(Address) (Phone) <br />380 Little Canada Road; Part of the Southwest Quarter of the Southwest Quarter, <br />Section 5, Township 29, Range 22, North of Little Canada Road and Southwest of <br />St. Paul Water Works <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Lot split and to divide off parking lot. <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 />(S gnatur of ,4p_'plp n <br />WHITE — Office CANARY — Customer PINK - -File GOLD -- Planner cell <br />r -, <br />(Date) <br />