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._----u <br />~" -- 9~~ <br />Little Canada, Minnesota PAID ~~,ac~~r~ <br />APPLIGATI®N FORM Rec. No. <br />Comprehensive Plan Amendment ~ Conditional Use Permit ~SCGr <br />Zoning District Amendment ~ Variance ~~X') <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 j: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 />ing and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />it '~e application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />u axpense. <br />(Signature or Applicant) (Date) <br />'~NHITe-Office CANARY-lJusto mer PINK-Pile GOLD-Planner ,.,,~,~,ig~ <br />