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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.ci.little-canada.mn.us <br />Deposit # /.. 2 9 <br />App rats Namerev �--,Address <br />l%I5 k 7:5 r` et1)jte <br />' <br />o 1� 9,..,.- �9/1� <br />�4z J y7-r`r <br />z2, , £CJft( <br />tz-+Ot?d/ Msa'eu,loIo lMacJ <br />Owner's Name Address (/ r Phone # -3 P <br />v <br />Property Locationreef address and_Ie I description f Atrow'i) <br />/' <br />` it L C O <br />Description and/or Reason for Request (cite ordinance sections, if known): <br />t 500 -sr. 1t -s r..› u ulna f. <br />1 p,.4eo, ' f _ -St ter. 4")1`x.. QFt- - t-°r"gU. eiTh Pit—Y-•1, <br />. t om . b 5es II— , ta.ar., > vss, uzie.4-t, 1 d ---.A, t <br />5' to O\0 .1\0 <br />ACTION REQUESTED (check all that apply) <br />In signing this application, I hereby acknowledge <br />that I have read and fully understand the <br />Architectural Review <br />J��VV <br />o1.1 <br />00 <br />applicable provisions of the Zoning and <br />Subdivision Ordinances and current <br />administrative procedures. I further acknowledge <br />the fee explanation as outlined in the application <br />procedures and hereby agree to pay all <br />received om the city pertaining 10 <br />.l i t 9 tense. <br />(d)7, <br />Atr. 'rrJ . i <br />Concept Review <br />Conditional Use Permit <br />Final Plat <br />Planned Unit Development <br />Preliminary Plat <br />Sig ature of Applicant, if not Property Owner <br />Subdivision <br />Signature of Property Owner <br />Text Amendment <br />Variance <br />Date <br />Zoning District Amendment <br />Other: <br />Total Deposit $ <br />S po <br />00 <br />