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Deposit # <br />,~. 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 />Applicant's Name o J'a. ~Uv O ~Y`>>~ ~sC . <br />~~ -~- ~/ ~~ Address ~p~"~~-a~-~V : vi. <br />L;itl~ k ~ TS l Phone N <br />3-- . <br />' <br />Owner's Name ~ <br />F->~n Address <br />Phongqe~~N <br />Property Lo •ation (street address and legal description, if known) <br />~~ <br />~~ <br />D~ <br /> <br />Description and/or Reason for Request (cite ordinance sections, if known): <br />~" <br />Je~._.. ~ ~ <br /> <br /> <br /> <br /> ACTION REQUESTED (check all that apply) <br />In signing this application, I hereby acknowledge <br /> <br />that I have read and fully understand the <br />Architectural Review <br />applicable ptrovisions of the Zoning and <br />Subdivision Ordinances and current Concept Review <br />administrative procedures. I further acknowledge <br /> <br />the fee explanation as outlined in the application , <br /> <br />~ <br />Conditional Use Permit <br />L, <br /> <br />~6D <br />procedures and hereby agree to pay all <br />statements received from the; city pertaining to Pinal Plat <br />addition <br />~~ pGcation expense. <br />d a Planned Unit Development <br /> <br /> <br />Signanve ofgpplicai t, if no[ Property O Preliminary Plat <br /> <br />'= <br />~r~2 - <br />Subdivision <br />Signatu of Property Owarer <br />Text Amendment <br /> <br /> <br />Date Variance <br /> Zoning District Amendment <br /> Other: <br /> Total Deposit $ ~SIJU <br /> <br />