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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 #
<br />Applicant's Name 1:,�,) Address Phone #
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<br />Owner's Nanie 1 Address Phone #
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<br />Property Location (street address and legal description, if known)
<br />Zjj `Z3 L-; I-4 5 (c,,,, g., f2b rune
<br />Lei kc rt;z.,.Qn l 121 A1 .3 3-7 i 7
<br />Description and/or Reason for Request (cite ordinance sections, if known):
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<br />6 ,v, T Wil;31 �-35-e4- .kr..-al.. 6.4,--'k Z.
<br />O
<br />(1
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<br />In signing
<br />that I
<br />applicable
<br />Subdivision
<br />administrative
<br />the fee explanation
<br />procedures
<br />statements
<br />this application, I hereby acknowledge
<br />have read and fully understand the
<br />provisions of the Zoning and
<br />Ordinances and current
<br />procedures. I further acknowledge
<br />as outlined in the application
<br />and hereby agree to pay all
<br />received from the city pertaining to
<br />addit�i�on%al(appli/c/ation expense.
<br />ACTION REQUESTED (check all that apply)
<br />Architectural Review
<br />Concept Review
<br />Conditional Use Permit
<br />Final Plat
<br />Planned Unit Development
<br />Preliminary Plat
<br />\/S
<br />\ ig
<br />ature of A. t ..:_ if not Property Owner
<br />Subdivision
<br />--Signature ofPr. .erty Owner
<br />Text Amendment
<br />;
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<br />Variance
<br />�.,e(1 �.,..--�
<br />Q
<br />tttttt
<br />Date
<br />Zoning District Amendment
<br />Other:
<br />Total Deposit $
<br />y o
<br />1 i
<br />
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