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DEVELOPER DEPOSIT APPLICATION <br />City of Little Canada <br />515 Little Canada Road East - Little Canada, MN 55117 -1600 <br />651 - 766 -4029 (Fax 651- 766 -4048) <br />www.cilittle-canada.mn.us <br />Deposit # /2) O 7 <br />Apdicant's Name Addres ("009 UJin nm...y —c. Avg tS Pitan<t <br />1 COMM116 CO CO Miciklal. Cl\c P-00 lrl • ,4170141.�1f1 NA' V— Mry:73-r £i 7x 535 -w <br />Owners Nance Address U Phoned <br />Property Location (street address and legal description, if known) <br />I `� l lt-AA o. Cc,-n ekr \cam, ?-c> E LAV- fie. l&.r\a.d(X Mn &5Stfl <br />, <br />D seription a al/or Reason for Request (cite ordinance sections, if known): <br />Kenn nn1, Ct.min�,PFii5, Sh>no M- <br />In signing <br />administrative <br />the <br />statements <br />this application, I hereby acknowledge <br />that I have read and fully understand the <br />applicable provisions of the Zoning and <br />Subdivision Ordinances and current <br />procedures. I further acknowledge <br />fee explanation as outlined in the application <br />procedures and hereby agree to pay all <br />received from the city pertaining to <br />additional application ex reuse. <br />/ <br />ACTION REQUESTED (cheek all that apply) <br />, <br />x <br />Architectural Review <br />Concept Review <br />t <br />Conditional Use Permit <br />Final Plat <br />Planned Unit Development <br />T i <br />4/11 j* <br />Preliminary I'Iaf <br />Signature of Applicant, if not Property Owner <br />Subdivision <br />Signature of Property Owner <br />O Jam! <br />Text Amendment <br />Variance <br />Date <br />Zoning District Amendment <br />Other: <br />Total Deposit $ <br />00 <br />0 <br />1 <br />