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Little Canada, Minnesota <br />APPLICATION FOAM <br />No 112: <br />PAID <br />Rec No <br />Comprehensive Plan Amendment "i\S" Conditional Use Permit <br />Zoning District Amendment. Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant <br />Owner )7 <br />(Name) (Address) <br />/cy4 joN 3e g,e @ @Og & <br />(Name) (Address) <br />Property Location (Street Address and Legal Description): <br />�i. <br />5 <br />/s; /- y5-6 - 775 <br />(Phone) <br />//2 -243- -/&/% <br />(Phone) <br />30 G-4-6-%112�/�� 2 (57. L277(e CANADA /Ll» 53-// <br />x ,e& THE AjeRTH 6.-77°1 / % TAk e©F. 1-1/4r Air oft loT i.2 faup. 1a2'S Suv ,'v�5;, -rn� ACC.. v3 y.; <br />,9,e4A:cH ij -/ of Ca. D`rctf A-'o. % RAMSeJ do Mit) 4',5rc7 7a (1=' to 4?'r0' 51, j' XCee- The M' d <br />Y3/- )( �v7 p€e �f )9Ak` 0G &>7 / AeTh C5 5u3�:v'S:�u� Sig', 473 Zy=1 -'j A-e;E74 etc ,6'. <br />Description and /or Reason for R:eguet(CiteOrdinanceSe� nos) ?�f� ��i' 33 ,z-7.7 T' tee, <br />- ''RQe <br />RA Q2G`X 5'7,6 <br />/4/ up ©N (1oR5e d, <br />G l eur 32c('tC . / /,',o 'cc j <br />Scto AT`t6}TeL, / 5/Yee?: <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 />tie application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />). I expense. <br />(Si azure of Applicant) (Date) <br />WHITE— Office CANARY— Customer PINK —Pile GO LD—Planner <br />