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~ ( N° -- 514 <br />Little Canada, Minnesota. PAID ~~ ~~ <br />.. <br />APPLICATION FORM` - ~~ Re~.No. <br />Comprehensive Plan Amendment <br />Zoning DistrictAmendment- <br />. Text Amendment <br />Other <br />Applicant <br />Owner <br />Conditional Use Permit :; <br />Variance. <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />(Address) <br />Property Location (Street Address and Legal Description): <br /> <br />/V~ Y o~ ~~ ~ S'.i~ L~nP ,off ~/ w /~ <br />90- 9. <br />(Phone) <br />(Phone) <br />Description and/or Reason for Request (Cite Ordinance Sections): <br />~o~/i,~~ ~~- /,~f sr~/rf ~s s~f~d i, <br /> <br /> <br />25199 <br />~~ O~ U~~~ ~p~pDP <br />imsigning this application, I hereby acknowledge that I have read and fully-understand-the-applirableprovisionsof the Zo^- <br />_ ing and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outli <br />J' in the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />_ _ lion expense. Page 1..4 <br />(Signature of Applicant) (Date) <br />WHITE-Office CANARY-Customer PINK-File GOLD-Planner '®' m <br />(Name) <br />