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Little Canada, Minnesota <br />APPLICATION FORM <br />2 <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />N? 1104 <br />PAI D3, Doi) <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />Applicant Aee+t NET (2447 5544- 57p-eel- L& ELAAlo (til <br />(Name) (Address) one) <br />VII (CRf}UL -. 17/gni Gfl `1'30. a� Pho� <br />Owner WAy/vE \offwseN) /0301 W000 CRCs -" 1�/Z -IVE NIA/ <br />(Name) C DON jZ tlb ) , 55433 (Phone) 36 <br />Property Location (Street Address and Legal Description): %3� <br />3 Zo I Coed 22-1 Oe <br />-ro c pffL, et e11-56 +-eU 5u1r,- 3Y <br />Nei 5. i ftliN J 9/91E0 )2 (140- <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />'M n1E1414 ADS \' v+atTTCO 14555 `@ j3W 2.0f04N4 <br />2-TC)r'(' flWIENDY24eNT: etecTRoNIG S((frl j flESS46g #✓opc -D <br />S, G2N Ord l oNAL. fiise pe-j2.144r7-: Sl 6N & C*I U E <br />COP 0111010t91, use ffjZrii (r: ['goer. or. PAieKr f4 <br />WIF-1 (ZCLocirreVV 5'sI Pc -yoeJ 'i16r4 <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 />/ <br />(Signature of Applicant) <br />WHITE— Office CANARY — Customer PINK —File GOLD — Planner <br />_ .2..3. o7 <br />(Date) <br />