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1 <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />Applicant L~'-'°" <br />(Nam-e) <br />Owner ____ !L/~"""_~l' <br />/~~ <br />(Phone) <br />Description and/or Reason for.Request (Ci__te//Ordinance Sections): <br />~ti ~1 ~z~ ~ ~ ~ ~~ ~~-~, <br />o ~ ~ ~ .~ <br />~~ ~- <br />In signing this application, I hereby acknowledge that a e read and fully understand the applicable provisions of the Zon- <br />ing and Subdivision Ordinances and current administ ative~procedures. I further acknowledge the fee explanation as outlined <br />it a application procedures and hereby agree to pa a I~st ere received from the City pertaining to additional applica- <br />ti.... expense. L/~ V ~ <br />(Signature o pplic t) (Date) <br />WHITE-Office CANARY-Customer PINK-File GO - nner .cro <br />~'~ 10'~ 3 <br />PAID OO <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />-~ Plan Review ~ 7w~~ <br />(Address) <br />(Phone) <br />(Address) <br />Property Location (Street Address and Legal Description): <br />