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r" ( _ <br />N° 533 <br />Little Canada, Minnesota PAID ~~.~ <br />`~~' -APPLICATION FORM - ReD_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 />Applicant <br />(Name) <br />(Address) <br />Owner ~"hr~.L Jl>a~Y~ l.a-~A. `t' V ~~ ~ l~-W, 1 `/fJ '~~ <br />(Name) (Address) <br />Property Location (Street Address and Legal Description): <br />!J air-~.~,`X <br />- 4 ~, <br />~, a n ,,.", ; . <br />Description and/or Reason for Request (Cite Ordinance Sections): <br />~ ~y- ~~ <br />(Phone) <br />_/yw~ <br />! _ <br />(Phone) <br />~ /- <br />~_~~~ <br />~°,~c~~~ <br />_ In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zoe <br />ing and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlines <br />`- in the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. P a,~ 2 2 Q <br />(Signature of Applicant) (Da e) <br />WHITE-Office CANARY-Customer PINK-File GOLD-Planner ~a <br />