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06/01/2005 13:30 6517664048 CITY LITTLE CANADA <br />~1 <br />Little Canada, .Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />honing District Amendment <br />Text Amendment <br />Applicant <br />Owner <br />ether <br />~vS <br />Planned Unit Development <br />ry <br />Plan Review <br />S ~'~ <br />(Name) ~~ IAddress) <br />(Name) (Address) <br />Property Location (Street Address and Legal Description): <br />(Phone) <br />r Wt+y (O~~~Oa~"'i~ <br />(Phone) <br />2b 10 ~4`Qcl.l.~ S1' • Cf{ (-Le- Casa d~ ~ GU- ~ <br /> <br />Description and/or Reason for Request.ICite Ordinance Sactionsl: <br />see aft <br />WfaS~ <br />i~- 6 sr `t~8d~ S3 <br />cv - tisr 7?~S~?.6 <br />C~ 6.s~ ~SszB~Z.- <br />.~.: <br /> <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 procedures. I filnher acknowledge the fee explanation as outlined <br />in the application procedures and hereby agree to pay all statements received from the City pert 'ning to additional applica- <br />yexpense. <br />~/r <br />'~gPAIGE 01 ~v`~ <br />~~ <br />PAID ~~~ <br />Rec. No. <br />' f" <br />Conditional Use Permit ~~-~~y~~~d~ <br />Variance ~~ _ ' <br />Subdivision C,~ <br />(Signature of Applicant) / ~~-. iT /' (Date) <br />WMIYE-Office CANARY-Customer PINK-Ella GOLD-Planner ~ ~ .~~°- ~'. `",, -i;T` ~, <br />