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Little Canada, IVlinnesota <br />API'LICATI®N ~®RIV1 <br />Comprehensive Plan Amendment <br />Zoning District Amendment 'f ' f~``'/~ <br />Text Amendment <br />Applicant <br />Other <br />(Name) <br />_ f~l ~_. <br />Owner __ n_., _. rz_ t.,'. •__1 ~ 1.; <br />~r~ 939 <br />PAID I~//~ n!/ <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />~~ Planned Unit Development <br />Plan Review <br />(Address) '„~~<,:,,r~~~~.,-3 (Phone) <br />aStf,1 <br />(Name) (Address) n ~ (Phone) <br />-7000 ~w~2-o~9~cr ,L~!v-d'. li~rui~-d3C <br />Property Location (Street Address and Legal Description): ~ I ~ ~,~~ \~~/~ ~, <br />-~~i~/ <br /> <br />~~;., <br /> <br />Description and/or Reason for Request (Cite Ordinance Sections): <br /> <br />~ /..:~ o ~r.f.. y <br />S,G: - <br />~~ <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 />in application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. <br />gnature of A lical t (Date) <br />WHITE-Office CANAPY-Customer PINK-File G LD-Planner ~ .~;s-S~. is <br />