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~c~ ~~9 <br />Little Canada, Minnesota PAID ~~~-= <br />APPLICATION FORM Rec. No. <br />~~// Q~,L~~~~~~ <br />Comprehensive Plan Amendment -L1- Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant ~/ ~/ <br />(Name) (Address) ca s /.~1~~~1e)l/l <br />Owner `~~~~ <br />(Name) (Address) (Phone) <br />Property Loac~ation (Street Address and Leg~a-l- Descri~p~tion): <br />oC ~~./ ~~~~-~'-C.-.2..J was=~iA_.C,tiY <br />Description and/or Reason for Request (Cite Ordinance Sections): <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />i~~ and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />~e application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. ~/~ ~ ~j <br />it) (Date) <br />WHITE-Office . CANARV-Customer PINK-File GOU Page 4 ,. n <br />