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V <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />)caner Fred <br />kpplicant tied 3 Etasha,C l <br />DS& _ I (i-1- <br />(Name) <br />7Au.4;,1es3 V a. <br />(Name) <br />PAID <br />Rec. No. <br />_- <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />(Address) <br />a. 3) (01-3 G7- <br />(Address) Li <br />-operty Location (Street Address and Legal Description): <br />NW 35 <br />ga - U �z S <br />(Phone) <br />race 1 • (p I =4(642 -2S-1-2_ <br />Ctti td'ii� MAJ (Phone) <br />S311* <br />vc, <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />u,Li CSI— Zl4 -0 <br />:Lte ICS Z, cd occibo rat, mid SS( 2 5 <br />1 signing this application, I hereby -- <br />"rebr acknowledge that I have read and fully understand the applicable provisions of the Zon• <br />1c Ind Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outline( <br />i . lPPlica *_ion procedures and hereby ereby agree to pay all statements received from the City pertaining to additional applica <br />o. ense. <br />1j ‘--.L.,.) f�f'L ' /% G r % <br />,2.21.‘ 12t/.v e (Signature of ing li a t) <br />tourer INK —F!e GOLD—Planner 'f� '] �. I, (Date) <br />- <br />- ' —Office CANARY —Cus <br />