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~'? 875 <br />Little Canada, Minnes®ta PAID ~~=~~y~ <br />APPLICATION FORM Rec. No. <br />Comprehensive Plan Amendment ~ Conditional Use Permit~~ ~ ~ ~' <br />Zoning District Amendment <br />Text Amendment <br />Other <br />Applicant /li-{~ Cti ~x~ j~~ }.-~C~~L./l,U ~ <br />(Name) J <br />tt~~ l p <br />Owner J~-f1 d 1A,~L.vN~A,I„ ~C.~ ~1 <br />,~,V~M, I!"~' ~J <br />(Name) ' <br />Property Location (Street Address a nd Legal Description): <br />_~ y~ cats-~ c~,~~~.~ R~~ ~ ~, <br /> <br /> <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />(Address) (Phone) ~-{~,Z-~j~~-{` <br />~ ~- lit-tfy~~, >C.f:~ ~ ~ L;~ Lc~rY~Qc: <br />(Address) (Phone) ~{(~,,~-c~ C-.~tt <br />Description and/or Reason for Request (Cite Ordinance Sections): <br /> <br />.r <br />In signing t Is app icatlon, I here ~ acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />I., one application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. <br />Page 1 T--'~- ~~ ~~/G LC% ~~ <br />WHITE-Office CANAR V-Customer PINK-Pile GOLD-Planner -3~~A,iu; <br />