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~ ~ ~ S9Y <br />APPLICATIO <br />Little Canada, Minnesota pA,D ~~-~, , <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />N FORM Rec. No._ <br />Conditional Use Permit ~S~ <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />Applicant <br />owner <br />z~ck ll <br />(Name) <br />(Name) <br />?roperty Location (Street Address and Legal Description): <br />4~ ~ ~ ~/CP_ ~t <br />.~ S <br />fJe W, ST-f/~~/JJ.~ 6si yP~-~~ <br />ress) (Phone) <br />(Address) (Phone) <br />C97- a~-aa-a~-oc~~ <br />description and/or Reason for Request (Cite Ordinance Sections): <br />~G <br />i signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ig and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />i tho application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />o :pence. <br />'HITS-Office CANARY-CuROmer PINK-File GOL <br /> <br />Page 1 <br />(Date) <br />~ ,o <br />