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"-'~5t8%a0/2002 11:08 FA% 70a 928 4065 DRYiYALL SLtppLY INC ~ 009 <br />08/29/2602 10:12 6517664048 CITY LSTTLE CANADA __ PAGE 02 <br />~ ~ N'° ~ ,g48 <br />Little Ganaday Minnesota PAIp ~0 <br />APPL1CA710N FORM Rec. No. <br />CalTprehensive Plan Amendment _:~ Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment 9ubdivlsion <br />•Other Planned Unit Development <br />Plan Review <br />Applicant <br />.~---• <br />Owner ~~ ~ J ~ <br />(Name) <br />Property Location (Street Address end Legal Description): <br />L.e r'a <br />(Address) (Phone) <br />Description and/or Reason for Request (Cite Ordinance Sections): <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 eutlined <br />'n the application procedures and hereby agree to pay all statements received from the City pertaining to additional appiica- <br />:ion expense. <br />(signature of Applicant) <br />`NHITa-Office CANARY-Cu;SOmQr PINK-File GOLD-Planner <br />(Date) <br />'~ <br />