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Little Canada, Minnesota PAID_7~r~~~ <br />APPLICAI'I®N F®RM Rec. No. <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment <br />x Text AmeLndment ~.~ <br />~ Other ~C.~.~f~~/L,~-ri'~-~ <br />Applicant <br />Owner <br />~~~~oN L~~~~ <br />(Name) <br />(Name) <br /> <br />Property Location (Street Address and Legal Description): <br />Variance <br />-/'• Subdivision <br />Planned Unit Development <br />Plan Review <br />K; ~ y <br />(Address) ~ <br />y ~ 3 0~` S~- S o <br />(Address) 1`-~i45ftn5S <br />SS633 (Phone) <br />GS( `('~4 s66 <br />yy`N (Phone) <br />S 503 3 <br />z 3~ ,~~ s u~. W s o N s~-~.I,.~ <br />os <br />l i~1-I~ Ctin~. ~~- ~'I°~ S o 33 ~j <br />D S , 4 <br />Description and/or Reason for Request (Cite Ordinance Sections): <br />~ ~ ~ ,~.t~ Q ~ c ~ C c,~. ~~ .~Q7 ~Q ,~~ ..t.~ .Q ..~..~a ~ o~ s~ c,,~l o <br /> <br />~- ~c 5-,- ~ ~ ~ 1't y-C - ~o (J P a '~ e ~ LJ e T ~ a.._. J/ <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 further acknowledge the fee explanation as outlined <br />i e application procedures and hereby agree to pay all.-stafe~e s geceived from the City pertaining to additional applica- <br />t~, . ~ expense. <br />~~ <br />~- >`~ ~ - 2`f ~o`( <br />~_ ~ - <br />(Signature of Applicant) (Date) <br />WHITE-Otfice CANAR V-Customer PINK-File GOLD-Planner ,,,,may„~~ii <br />. Jli,.i <br />