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<br />Little Canada, Minnesota <br />I~''Z ~ ----_~8 3 <br />PAID `~'~~~~ <br />APPLICA~"ION FORM~,/ Rec. No <br />Comprehensive Plan Amendment /~ Conditional Use Permit <br />Zoning District Amendment <br />Text Amendment <br />Other <br />Plan Review <br />Applicani~f .5/9Vu /~N'~`o lvc'./~,c r!, 07~,~~ ~i e'dI ~rT!-G E4xJ/<~i/r>r/yfal ~v(S~- ~~la"7?i~ <br />(Name) (Address) (Phone) <br />Owner <br />(Name) (Address) <br />Variance <br />Subdivision <br />Planned Unit Development <br />(Phone) <br />-/~3 ~ <br />Property Location (Street Address and Legal Description): <br />N ~ L /7 G. s J/ <br />Description and/or Reason for Request (Cite Ordinance Sections): <br />~"" <br />~a ~:~-~' ~/.5 ~n~tsm ~,Cl2R Nf LdCc~:~/~n, ~ ..i,uG~c~ ~.c. ~~~D/9~:/b <br />~ ~~~ ~ 1 / / p -- <br />1r_!~Ziv/Y~/E.S ~ ~~~~ °'~~/l/1 ~T~ Gtss %~i91ra.?/LrJ /~i'C'c"Li ~S/'O>+~GCeQ%7~d)+-an/ r'~~~ /p/se~u~ <br />Cle~i~ ~~'y" ~.Cnr /~nJ~o~.~ ~ ~~~ ~ uz, ~3~ /D ~ fL4'a~ R~~ fc ~5')`a.2/I6c <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 />in the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />ti~~ expense. <br />(Signature of Applicant) (Date) <br />WHITE--Office CANA RY~-Customer PINK-file GOLD-Planner ,1d~'.-`+~no <br />