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Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />PAID90 <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />Applicant �GL 4711 et C4/✓ Aeeeenr /'u, ink. (.-57 422- 772c <br />�/ <br />(Name) a94-o ✓- -) . (AAdf / dress Wages , #d • ( /�l,3 (Phone) <br />wner iird)-1 'T' I iG C e._ ��1.6�11 UO a/QU De. Sci4 wt/ ✓77d, <br />(Name) (Address) / • (Phone) —i33 1 <br />6/2- & ?? / <br />Property Location (Street Address and. Legal Description): <br />P>2940 is 57 �"il../` P -ems 6-76-16L_ /nil, 551 / 3 <br />ascription and /or Reason for Request (Cite Ordinance Sections): <br />d v77m� C c 24ze. 7 6 u . An7u- t , 46 ,-e. A <br />19-60 <br />I signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ino 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 st. • i ents received from the City pertaining to additional applica- <br />t n expense. <br />V ITE— Office CANARY— Customer PINK —File <br />f Applicant) <br />