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<br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />T~T~ --924 <br />PAID <br />Rec. No. <br />Conditional Use Permit <br />Variance <br />X Subdivision <br />Planned Unit Development <br />Plan Review <br />Applicant <br />Owner <br />N <br />(Name) (Address) <br />Property Location (Street Address and Legal Description): <br />yll ~^ <br />(Phone) <br />Description and/or Reason for Req/~uest (Cite Ordinance Sections): ~~ <br />C~. <br />In signing this application, I hereby acknowledge have read and y unde stand the applicable provisions of the Zon- <br />inn and Subdivision Ordinances and current ad inistrative p edure . I further cknowledge the fee explanation as outlined <br />i e application procedures and hereby agree ay all state nts rom--th City pertaini g itiot}aE plica- <br />tion expense. ~~~ ~` ~ ;~- ~,~ -~'(~a ~ <br />v 1, <br />~ l~ ~ - <br />(Signature of Applicant) - (Date) <br />WHITE-Office CANARY-Customer PINK-File GOLD-Planner ~ a-q~in <br />