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fir) r .f, <br />VwmmmR. q. <br />y) <br />Little Ca^+-n//ada, ppNlinnespp®ta <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />Applicant <br />Owner <br />?V ~'VL"~~i~. I~ ~e'S U~C~ <br />(Name) <br />(Name) <br />Property Location (Street Address and Legal Description): <br />PAID ~5~~~~ <br />Rec. No <br />i <br />Conditional Use Permit Ulf,' ~Ct6~r~C-Ci,~ <br />J <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />.~~ ~(~' <br />l cc ~ ~~V ~ ~ ~V e Sfi~ CcSI ~ ~l~c ~ s'S~- <br />(Address (Phone) <br />(Address) f J (Phone) <br />-U:3-f i <br />Description and/or Reason for Request (Cite Ordinance Sections): <br />/-h~rl~l,1V(i(;~IV~1,f ~Z~ l:;c~tV(,Cf',l~l~lu. i„5c' )~+`+~~~ti~t. :St'c' V<~c~CCZ~V~ . <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />^^ and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />ne application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. / ~. ~r.~~ (Z~t,~,,~~~py- <br />(Signature of Ap li ant) (Date) <br />WHIT[-Office CANARY--Customer PINK-File GOLD-Planner ^~"~u!ji <br />