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~~~ 1027 <br />Little Canada, Minnes®ta PAID ~1 ,~~ <br />APPLICATION FORM Rec. No. <br />Comprehensive Plan Amendment ~ Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant <br />Owner <br />~LIL -:1=C~o lo2S I~N~y~~ ct t Kos-y~~ (11~ taSl-( <br />(Name) (Address) (Phone) <br />'~C~~-1~t1~C~S ~~L', Sew <br />(Name) (Address) <br />Property Location (Street Address and Legal Description): <br />(Phone) <br />3~-r3.-rs,~~ ~~~c~ si <br />Description and/or Reason for Request (Cite Ordinance Sectional: <br />~~c -~iT~~N~. <br />1~~_ <br />AU6 ~ 4 2004 <br />In signing this application, I hereby acknowledgrrffia-'C~1~ <br />ing and Subdivision Ordinances and current admihistrative <br />i- `he application procedures and hereby agree to pay all <br />expense. <br />WHITE-Office CANARY-Customer PINK-File GOLD- <br />(S <br />read and fully understand the applicable provisions of the Zon- <br />ocedures. Ifur her acknowledge the fee explanation as outlined <br />~eme is receiv d from the City pertaini`.n~g to additional applica- <br />D ~L <br />e f (Date) <br />.: ~o <br />