Laserfiche WebLink
6- <br />Little Canada, Minnesota <br />APPLICATION FORM <br />/G7 <br />N9 .S <br />PAID5/100•oo <br />Rec. No <br />Comprehensive Plan Amendment / Conditional Use PermitQ�' 00 <br />Zoning District Amendment v Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant FI -v17-1F_ mJDpt-e- Sc/pu--- <br />(Name) (Address) <br />Owner <br />/5- Est _tout v <br />/SD rte23 (2osevtlit.e SU+LLs) /257 las,- e_coAP-Y <br />(Name) (Address) <br />Property Location (Street Address and Legal Description): <br />eg r.!%LLe Lktv-e, - M "Do Sc L_ <br />goes g —Z <br />(Phone) <br />6 3 S- /Goo <br />(Phone) <br />l S eAs+- coy - t 120,40 i3 —Z <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />r'Y)L°,, -t14-0E. G mss, oe kmontee <br />t' /pt n/51-440 OF L C, (1 A,t, ote.40.S,sf /c , Fees.r f_ <br />eyircitZtt)a,-3 Gd•ufi4-hJ c Lutz 7>4t1 5 G1y SCHwL f -diP c `(- ads"; <br />11 tF P(o7t-F %€nce,c,k_c• c Vicr— t e 771Nr3 Co U2 /O /S"- o" <br />-'il -Ails :f Ave_ <br />1" ) o is <br />/I <br />/0 —o <br />-%T., kap -NN .'S F »4t S o N ScH4cv.- lro i°.tc`" j <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 />(Signature of Applicant) reve.. G411> <br />WHITE — Office CANARY— Customer PINK —File GOLD — Planner Page 129 <br />77579/ <br />(Date) <br />