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~s~ ~ ~ 934 <br />Little Canada, Minnesota PAID ~~sa p6 <br />APPLICATION FORM Rec. No. <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment <br />Text Am///~endment <br />Other GLt <br />Applicant <br /> <br />(Name) <br />Variance <br />_L~ Subdivision <br />Planned Unit Development <br />Plan Review <br />(Address)Zck'e-~ '~'+L«'E~ /"/3~S~,~y hone) <br />G3 <br />Owner •'n7i~-2•e£~r 1~GAe£ Ct'N-+-cn G:nr;;-xo L,ah,/„yr~.~~,,.y C$ic~:.as /~~edz' <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />.2 900 /i i G~ ~~i /;!.F £9' G.TT/tee' L.'lf.//~.va /Ll"/,U,~.s~o r/1 <br />Go'T / `1~Gdc-. jC ~ /~~kv~k'i-:' f'~G/.I G% <br />Description and/or Reason for Request (Cite Ordinance Sections): <br />.S U:lJCXIJ~S~o.-~ /)'~ ~~ 2°X rSTY/i'~L- .CO i ~ ~ /~(£~ LO T~ (~GOC-fG <br />r <br />'l~L.ire~ Z.,srp .rir~~~-r~.,,j o5b GJ~ C,.tn/ 6u-r~ a Ntic.1 S,v G~~n :7~.iu~ Sra.z~ <br /> <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ir nd Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />in .,e application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. <br />WHITE-Office <br />., <br />(Signature ai' pplicant) (Date) <br />CANAPY-Customer PINK-File GOLD-Planner <br />r, ro <br />