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<br />6~ <br />Little Canada, Minnesota PAID a5?~~~ ~~~ <br />APPLICATION FORM Rec. No. <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment /-Subdivision <br />Other Planned Unit Development <br />Plan Review <br />S-f'oc~Cn~ess 9vope/i~s /9o ff`RN Dr, G/~%i.2~~ <br />Applicant ~~ie~srti ~i.7~PV,eriire Zhu. 3o~s S~,pcc<e Sf~ ~~/'Olo7~ <br />(Name) (Address) (Phone) <br />Owner ScY1Pe~~er-~/~/U9/-a~, ~/S~. Ow-assn a~vc~ ~/~y-/7.~/ <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />O~S- <br />~~n ~ a(o2922~/ao3s~ <br />Description and/or Reason for Request (Cite Ordinance Sectionsl: <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />i! nd Subdivision Ordinances and current administrative procedures. I further ackn wledge the fee explanation as outlined <br />in cne application procedures and hereby agree to pay all state s received fro he City pertaining to additional applica- <br />tion expense. ~%~~ "'- <br />(Signature of Applicant) (Date) <br />WHITE-Office CANAPY-Customer PINK-File GOLD-Planner Page 1 °~10 <br />