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Case No. <br />CITY OF <br />., LITTLE CANADA9 MINNESOTA <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Applicant <br />(Name) (Address) (Phone) <br />Owner <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <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 <br />applicable provisions of the Zoning and Subdivision Ordinances and current administrative <br />procedures. I further acknowledge the fee explanation as outlined in the application <br />procedures and hereby agree to pay all statements received from the City pertaining to <br />additional application expense. <br />(Signature of Applicant) 'r% 'a U z G <br />Clerk's exhibit no. <br />(Please attach supportive documentation and plans) ;4eeting-2-8-78 <br />