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~g /0~ 5 <br />Little Canada, Minnesota PAID ~~,ooo ____ <br />APPLICATION FORM Rec. No. ___ <br />__. Comprehensive Plan Amendment _._..x- Conditional Use Permit <br />__. Zoniny District Amendment <br />Text Amendment <br />_ _ Other <br />_ _.__ Variance <br />__ .__ Subdivision <br />__ Planned Unit Development <br />____ Plan Review <br />~.1rre~es5 H~.++d NNJ Fars LLL 2515 24~4/}de.,S. 11 ~nnegon)i5 HIJ SSyo~, tiz-~a~-i((o <br />Applicant_~1e~(~r_y-r1a/ q ~ __ -i-d ---- <br />(~amel (Address) (Phone) <br />});11t>'ei~ QeJ~laPrhw'J' LLLQ 2H2N ~~~., ay NE .„„~. olr"1 N~Wf3 6i~-3~1- oie~ <br />Owner - _ - --__.. ~ < . _S~_r.--- -- <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description) <br />3250 ,~/~.e._.Stvee~ ~L~t1'e.Cµrnw.lny__rt~~ -Sst!7_-- <br />_.._~--°"s_~cS~1-_ SN~J(y wllsr~~L ~~b at'Kwih~ _C~y~_?,[.. <br />Description and or Reason for Request Kite Ordinance Sections) <br />Con S~Y~n~.Q'1~__0.~41~~2_ a _I~0 WtvrnO~olc t,/iJ'cltls__COrr.~rC..nrr(g/'rar.i 'rNC;~f~Y wi~ w (L'K~S~ <br />e~tvl~~aWie,~7 S_~cl~w'._v.1;~~9~5!...SC~._L'~w..~oh~._Oh~he:Sv_~.~~tu~ ~r./(e~. ~~nn~.lnr LJJr~~es5 _ _ <br />~u; ~ ~~ ~ I 5 wr r 1" OJ WgaP ~.~H') C /1 ~ I <br />Ye.1_. fOJ1 Q ~~N,+~ ~i~(6_ZS __.f'~__.~~~V. o!lfG_~. Z 4 Gn a oh9 _.. <br />_ ~__.._ ~R__ -~ <br />L(~n1`, ~ndlt~ St..~~on `la3.IHD oj~~ tore. SCe- (ovfe/ Ie'~f~.~~xr7'y,t/ r.~c.7.,r~S, -__ . <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon <br />ina and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlirteci <br />ii ~ application procedures and hereby agree to pay all statements received from the City pertaining to additional appiica- <br />tion expense. <br />n <br />/~ n ~~ <br />~l ~,D•.,y~ ~1 ryn~ i / (;N~ laK ate.( ~rL `-I-~I-03 __ <br />(Signature of Applicant) (Date) <br />WHITE-Office CANARY-Customer PINK-File GO Ln-Planner "~iyi° <br />