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l <br />/;~ <br />Little Canada, Minnes®ta <br />Applicant <br />Owner ~~ <br />APF'LICATI®N F®F3M Rec. No. <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br /> <br />(Name) <br />~ ~~-LLn <br />(Name) <br />Property Location (Street Address and Legal Description): <br />~~ ~ <br />Conditional Use Permit <br />Variance <br />Subdivision <br />_ Planned Unit Development <br />Plan Review <br />(A dress) (Phon/e) // <br />~g~ ~5~~~~~ ~~~ 6~-(~~ ~ ~ rl~ <br />(Address) (Phone) ' <br />~s/~/3=/ll~ <br />~~~.~~G,>'~l6 <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 />ino and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />ii ~ application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. <br />(Signature of Applicant) (Date) <br />WHIT[-office CANARY-Cusmmer PINK-f=ile GOLD-Planner ._iiy <br />