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Applicant <br />Owner <br />Little Canada, Minnesota <br />APPLICATION FORM <br />N° 641 <br />PAID $400.00 <br />Rec. No <br />Comprehensive Plan Amendment X Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Hagman Construction, Inc. 5353 Gamble Drive Minneapolis, MN 55416 <br />(Name) <br />(Address) (Phone) <br />Slumberland, Inc. 3060 Centerville Road 482 -7500 <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />PIN 05- 29- 22 -22- 0016 -9 3060 Centerville Road, Little Canada, MN 55117 <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Additional Trailer Parking <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 sand hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. <br />�--� -Ltru, 9 -a- 93 <br />(Signature dfrApplicant) Page 83 <br />WHITE — Office CANARY— Customer PINK —File GOLD — Planner <br />(Date) <br />