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~-- ( - <br />I~Ttl G~ <br />Little Canada, Minnesota PAID 700-° <br />APPLICATION FORM Rec. No. <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other <br />Planned Unit Development <br />Plan Review <br />Applicant J ~ U i1 fS /_~ ~rJ.`-J /"~= /-lJ <br />(Name) <br />r~oc-I--t5 ~J~'/~/~C'i=5e/ <br />Owner ~v~ 1 C ~ ~ ~~ ~ V ~~ r~1 <br />(Name) <br /> <br />_ F cl 'l ~ <br />Address) i Phone) <br />(Address) <br />Property location (Street Address and legal Description!: <br />(Phone) <br />G~5!~ ~rdcl 151 ~~tl~o,Ze Ft >l~ <br /> <br />Description and/or Reason for Request (Cite Ordinance Sectional: <br />T <br />~a <br />t <br /> <br /> <br /> <br />r~S~ <br />t',~ l~^ N ~ ~--s' <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ir end Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />ii a application procedures and hereby agree to pay all statements received from tt}e City pertaining to additional applica- <br />tion expense. <br />r ~ /, <br />/~ <br />Page 1 ~ ; , , , <br /> <br />