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<br />Applicant <br />Little Canada, Minnesota <br />APPLICATION FORM <br /> <br />~~-__ 1(,37 <br />PAID ~~~~ <br />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 />,ea,.Q.~.~.~:ee., ~~ <br />~a 32 . O t~~1 &Sa ~/ 5 <br />(Name) (Address) (Phone) <br />Owner t1 JOIxC {C u s+. uy(.c)143Sc-~~~, <br />(Name) (Address) <br />Property Location (Street Address and Legal Description): <br />Z <br />(Phone) <br /> <br />Description and/or Reason far Request (Cite Ordinance Sections): <br />In signing this application, I hereby acknowledge that I <br />ina end Subdivision Ordinances and current administrat <br />in application procedures and hereby agree to pay a <br />tion expense. <br />WHI-rE-Office CANAfl Y-Customer PINK-File <br />and fully understand the applicable provisions of the Zon- <br />ur . I further ackno dge the fee explanation as outlined <br />s eceived fro e Ci y pertaining to ad ition I applica- <br />~-~ fQ J~;>~0~ <br />~r <br />4pplic ) Date) <br />"'~ )a <br /> <br />