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./' ~~~ _~sS9 <br />©o <br />Little Canada, Nlinnes®ta PAID ~~ <br />APPLICA~I®N FORfVI Rec. No. <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />`` <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant <br />~~ <br />y~. <br />Owner ,~ <br />~~ <br />(Name) <br /> <br />Property Location (Street Address and Legal Description): <br />d <br />ress) <br />zfL~ ~Gq <br />(Phone) <br />Description and/or Reason for Request (Cite Ordinance Sections): <br />-( <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ir~ and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />le application procedures and hereby agree to pay all statements received from the City pertaining to additional applica~ <br />tion expense. ~ <br />n J ~ ~ <br />__ <br />(Signature of Applicant) (Date) <br />WHITE-Offire CANARY-Customer PINK-File GO FD-Planner „•~?,m ,. iip <br />