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Applicant <br />Owner <br />C c <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />City <br />X <br />N° 703 <br />PAID $0 - Waived <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />(Name) <br />(Address) (Phone) <br />Steve Morelan 109 Bluwood Avenue <br />(Name) <br />Property Location (Street Address and Legal Description): <br />109 Bluwood Avenue <br />(Address) (Phone) <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Variance to allow a setback encroachment of 7.5 feet toward the <br />Australian Avenue cul -de -sac. <br />In signing this application, I hereby acknowledge that 1 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) Page 15 (Date) <br />WHITE— Office CANARY— Customer PINK —File GOLD — Planner <br />