Laserfiche WebLink
~~' 111 <br />Little Canada, Minnesota PAID ______. <br />APPLICATION FORM Rec. No. <br />. Comprehensive Plan Amendment Conditional Use Permit <br />.Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant I'I~~G~ Q.~G~~`VIG~~ ~ ~'/r~~ ~3~~ ~~'1i'C.2Y JUt d~~ / ~IZ-~~~S--~~ZS <br />T <br />(Name) -~ (Address) ~ ( ~ (Phone) <br />~ P (( M I~, SS I ~~ <br />~~°~ UGa~o~l~ ~i~~Dt~(SQ~-~~,~C l`a~.e pru~?r~:r~dC~ve~S ~~+ ~~ ~~I ~(n ~~ZZ <br />(Name) ~ ( dress) (Phone) <br />Property Location (Street Address and Legal Description): <br />-~i la ~ ~~~ ~fi~ ~+Cu~~~c~~, M~~ 55~I~ <br />~~. <br />~I 4~S M ~oc«wz--~vi~' , ~~ I~ z,1, ~ ©~~I ~,~ Mf~S 5S ~z5 <br />Description a~nd~/oIr Reason for Request (Cite Or(di~nance Secty'ions): d <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ino end Subdivision Ordinances and current administrative procedures. I ,further acknowledge the fee explanation as outlined <br />in application procedures and hereby agree to pay all statements reeei ed from the City pertaining to additional applica- <br />tion expense. ~ I <br />a='~~ ~ I q ~ y~' <br />~Jrt ~ l i ~~ ~Ul (~10 <br />~L ^ (Signature q A` plicanh) (Date) <br />WNITE-Office CANAfiY-Customer PINK-File GOLD-Planner ..~~ .~~'~ ~~ro <br />