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~n -- 878 <br />Applicant <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />(Name) <br />Owner ~l',,t~i ~.~ cL ~,l/ <br />(Name) <br />Property Location (Street Address and Legal Description): <br />PAID <br />Rec. No. <br />Conditional Use Permit <br />Variance <br />(Address) <br />(Address) <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />(Phone) <br />?~ ~~ L;~1~ u;~al~c~ ~4 ~' ~- ~y~l <br />(Phone) <br />_c ~ ~ ~' rya i 5 .~ev-P <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 />inq and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />ie application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />t~~n expense. <br />,~ .. ~ ~~.:2C~CG <br />10 ~` '~ (Date) <br />WHITE-Office CANAPV-Customer PINK-file GOLD- Page /•.j~?,,~~~'/, 7_~J~ %~~ r~0 <br />~, <br />