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• <br />Little Canada, Minnesota <br />APPLICATION FORM <br />O ~~ `rI1___-_ <br />PAID <br />Rec. No, _ <br />Comprehensive Plan Amendment ____- Conditional Use Permit <br />Zoning District Amendment i Variance <br />Text Amendment Subdivision <br />Other ~ Planned Unit pevelopment <br />Plan Review <br />Applicant~,.~ <br />(Name) <br /> <br /> <br />O vlJi..~ O C G <br />(Address) <br />Owner _ <br />(Name) (Address) <br />Property Location (Street Address and legal Description): <br /> <br />31XX Spruce Street, Little Canada, SEE ATTACHED LEGAL <br />Description and/or Reason for Request (Cite Ordinance Sections): <br />T -/y/~, <br />>n ~ / / - 1 ~` /4 / / f~ <br /> <br /> <br />d li~ <br />~~ ~ <br />(Phone) <br />i' <br />(Phone) <br />r <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 the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />T- ,expense. <br />(Signature of Applicant) (Date) <br />WH;TE-0ffica CANAPY--Customer PINK-Pile GOLD-Planner <br />Z9 39t/d 17QtiNti~ 3111I~ AlID 349b99Li99 ~9:aT Z6u7;6Z;'3GJ <br />