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Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />• <br />1'? /1r�1089 <br />PAID 9 9 1 <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />Applicant Y);^..1\- n'1 Ar0-‘,45 oft 3O3) L...V,rorr G;5 gLI5 71_ <br />(Address) (Phone) <br />^caner <br />(Name) <br />INA <br />Ub`'•% S b(Th <br />(Name) (Address) <br />303 i-cbcrc <br />Property Location (Street Address and Legal Description): <br />Cow 1 �1��1 giSa <br />(Phone) <br />RA \I-■ aF sce <br />Lk Co P L NI C7`► :J.c\ 11 '2..1 <br />soy D . 013 , 1 . (n <br />ascription and /or Reason for Request (Cite Ordinance Sections): <br />fa.D <br />F 1l <br />\- s 3 21 3cyto13ot-1o, <br />I 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 />it , application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />1 hi expense. <br />Signature of A <br />( PP lic t) <br />1 IITE— Office CANARY— Customer PINK —file GOLD — Planner <br />(Date) <br />) <br />