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11/22/2005 11;10 <br />6517664046 <br />DITi LITTLE 0/ NAD? <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Cerra Preheneiva Plan Alf ,tI tjI nenl <br />Zoning District Amendment <br />Text Amendment <br />Other <br />Applicant <br />Owner <br />PAID <br />��PAGE a1i Jo7s-- <br />9 co <br />Rec No <br />tionditional Use Permit <br />- Variance <br />P- Gub Jivisiu, �" <br />. Planned Unit Development <br />Plan Review <br />I <br />I L1 5c0A5'h V;t"[ � <br />C�'Gr /fP,,S'SO5 " ".� (t,`1) 674-�.,�rn <br />(Address) (Phone) <br />(Name) <br />Prnparty Luaaliun (Street Address and Legal uesrIptionl; <br />(Address) <br />(Phone) <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />J <br />L� <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicaole provisions of the Zon• <br />ing and Subdivision Ordinances and currant art rninisrrative pr000durco. r further eisliuwiedye the tee explanation as outlined <br />In the application procedures and hereby agree to pay all statements received from the City pertaining to additional applied. <br />lion expen% <br />NH ITF- -OffiW C AflY.,Cum)rsr <br />(Signature of Applicant) • <br />PINK -fu C701_D— Plynner IDate) <br />Fe. <br />