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Little Canada, Minnesota PAID ~ ~ <br />APPLICATION FORM Rec. No. <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment <br />Text Amendment <br />Other <br />Planned Unit Development <br />Plan Review <br />Applicant~~XQ`JL. +"l~ liy`~~,~L~ ~~`1~1 Y"I~.IvIuU_~1.~ \~ ~.D~~{ zz~' ~'W l <br />(Name) (Address) (Phone) <br />Owner~~~LSQ• ~ ~l~2bQ.C (L oZ~-ktdl.+ I~C~~UI~.VV1.U S~ ~D~ (• ZZ(a • ~'~ ~'~e <br />(Name) (Address) ~ (Phone) <br />Property Location (Street Address and Legal Description): <br />t <br />arnnss~ <br />~~~ ~A-5~ur~t1 ~ VvI,c,V~'1t~u~St ~, ~v,tno, w~e~~l~ <br />Description and/or Reason for Request (Cite Ordinance Sections): <br />S~ t~l WaJFiINWtn~~s ~tght-a~' w~, <br />~ ~~lyL <br /> <br />~,2e~t.~u cl i v~ start ~l vu w ~ ~ ~Go o ~ ~,~ir~ f a ~ _liorvu .c~ <br />~y~lCo ~'le-/Y1~n~~-nu ~-~ ~ n-1o~e. >~~eo~dicUl~ ~ /~1G~2eY1~m~ S~ <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 />it ~ application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tic,,. axpense. <br />(Signature'df µlicartit) (Date) <br />WHITE-Office CANARY-Customer PINK-File GOLD-Planner / ~ ~/~~~i~?.,:,-.~---`___-- ~( -j ^~,io <br />Variance <br />Subdivision <br />