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~~ - -- 99R <br />Little Canada, Minnesota PAID ~~,ood <br />APPLICATION FORM Rec. No. <br />Comprehensive Plan Amendment ~ Conditional Use Permit ~SO6 <br />Zoning District Amendment ~ Variance ~~ <br />Text Amendment <br />Other <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />Applicant Precision Landscape & Tree, Inc. 50 S Owasso B1v~651) 484-2726 <br />(Name) (Address) (Phone) <br />Owner Lawrence <(Mac) Groholski 7993 - 140th Street N (612) 685-3406 <br />(Name) (Address) Hugo, MN 55038 (Phone) <br />Property Location (Street Address and Legal Description): <br />50 South Owasso Blvd E <br />Description and/or Reason for Request (Cite Ordinance Sections): <br />see attached <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />l.. ,ne application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. <br />(Signature of Applicant) (Date) <br />WHITE-Office CANARY-Customer PfNK-File GOLD-Planner ,,:3lio <br />