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Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />Applicant L't"C- -- ( (LA <br />(Name) <br />C finer <br />N? 1088 <br />PAID 7Ol <br />Rec. No <br />Conditional Use Permit <br />Variance <br />X Subdivision P <br />Planned Unit Development <br />Plan Review <br />& 7 s (‹-E L sic <br />(Address) <br />4700 <br />(OS 13 3 °-- <br />(Phone) <br />(Name) <br />Property Location (Street Address and Legal Description): <br />(Address) (Phone) <br />4.Vg 9- 4, 71/45- aetatg, <br />;cription and /or Reason for Request (Cite Ordinance. Sections): <br />%J 9- <br />1 gning this application, I hereby acknowledge that 1 have read and fully understand the applicable provisions of the Zon- <br />ig Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />t .pplication procedures and hereby agree to pay all statements ved from the City pertaining to additional applica- <br />c expense. <br />/6( <br />(Signature of Applicant) (Date) <br />-n'E— Office CANARY— Customer PINK —File GOLD— Planner <br />