Laserfiche WebLink
Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />N9 612 <br />PAID 9360 00 <br />Rec No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />Applicant jCj `.ow 4Pk la-- `f tsuk c1 €ET3f. <br />(Na e) )& e„c a (Addre s <br />o3/ 0 .D. <br />G . \(t Owner S41 ifs INS 70Ql0>v <br />(Name) (Address) <br />Property Location (Street Address and Legal Description): <br />46. RSS /s0(7y <br />(Phone) <br />(Phone) <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />0k. Ckk1K) tVS L ( �R�,t��— ftS UVkt S(z�� <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 />Page 19 <br />*.94,W11.1„,4\ <br />(Signature of Applicant) <br />WHITE— Office CANARY— Customer PINK —Pile GOLD — Planner <br />