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~~ ~~ <br />~~ _106 <br />_,~_ Zoning District Amendment <br />Text Amendment <br />Little Canada, Minnesota PAID ~~S-CY`) <br />APPLICATION FORM Rec. No. <br />Comprehensive Plan Amendment Conditional Use Permit <br />Other <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />Applicant ~1~,1,.~~~=~ ~ ~~r- ~7t71 C~.~rzu.. ~ 1~I1,4a-K 1~.~~~,1aa~.~ ~S'~' ~"Z`~'~°I13 <br />(Name) (Address) (Phone) <br />Owner <br />(Name) ~ (Address) <br />(Phone) <br />Property Location (Street Address and Legal Description): <br /> <br />Description and/or R//e~~ason__ for Request (Cite Ordinance Sections): <br />arm /-~T~TJuT~w~. ~+.c.~, SUrkGL"`. <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ing and Subdivision Ordinances and current administrative pr cedures. I further acknowledge the fee explanation as outlined <br />in application procedures and hereby agree to pay all s t en received fir urythe City pertaining to additional applica- <br />tion expense: ~ ~//~ / / <br />(Sigri~of Applicant) (Date) <br />WHITE-Office CANARV-Customer PINK-File GOLD-Planner Apo <br />