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Little Canada, Minnesota <br />PAID <br />APPLICATION FORM~/ Rec. No <br />Comprehensive Plan Amendment `\ Conditional Use Permit <br />Zoning District Amendment <br />Text Amendment <br />Other <br />~ ~'`7 <br />Applicant /G'/~~ /' 1~~<, ti j~ <br />(Name) <br />~__.. <br />Owner ~.~l~L_ <br />(Name) <br />Property Location (Street Address and Legal Description): <br />(Address) (Phone) <br />~` <br />.> ..~ <br />Description and/or Reason for Request (Cite Ordinance Sections): <br />I <br />~,~EOt~r:-~7 ~/;^C~~= /l/~/?/T~r- 9C ~~iy~r',,~'f~- S >' /C f~_.. <br />_~- i~ <br />°c'%/fL G%~rrl¢= /~rrrq,~ ~U/G L ~3 ,% /~/~, -~ 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 />'he application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />expense. <br />~ ~~~ ~ ~ z <br />(SignAture of Applicant) ~ (Date) <br />W Ii1TE-Office CANARY-Customer PINK-File GOLD-Planner ~~:,d•~,~.(~ <br />(Address) <br />(Phone) <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />