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%.- <br />~~ 11g~ <br />Little Canada, fVlintles®ta PAID `~~~~~ <br />APPLICATION FORM Rec. No. <br />Comprehensive Plan Amendment ~ Conditional Use Permit <br />Zoning District Amendment <br />Text Amendment <br />Other <br />Applicant <br />ame) <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />(Address) (Phone) <br />Owner ~CP„~~~,~~ €~P~ 6~'~" ~S~/~4"'i ~~ ~„~.~ / ~a.~~"`~ ~ ~ s~~ ee ~~~ ~/ <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />~.a ~ ~ ~~~~~~ <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ing and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />in the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. <br />WHITE-Office CANARY-Customer PINK-File <br />(Signature of Applicant) (Date) <br />GOLD-Planner <br />io <br />Description and/or Reason for Request (Cite Ordinance Sections): <br />