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Little Canada, •Minnesota <br />APPLICATION FORM <br />posy <br />PAD <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other 5 : y n f e v: ew fa P(GN.ri :.,s Planned Unit Development <br />w <br />Covw^:SSi(sr,. / Plan Review <br />fort' ID�,ac� a5 -c' R'Lce 5-re (g57),55 -lyLis <br />Applicant / i <br />C (Name) 9� (Address) (Phone) <br />os a Coq- 69ewa }mr 3o r <br />p <br />Owner 6yewoi -er lUWKQf/r`ce ec-etiC' k>cx R:.cc 5T -v'ee <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />x <br />L- t- <br />R ice s -re <br />(S, ilocK / 6c1,ewei-er lc)wooF .ce <br />S•Je o R :c_e 6efwecn AewLw t c -R , C <br />10 <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />PIfo\ reuet, <br />0 + Le. eor . <br />cor <br />rteuki <br />ervt-ry <br />y•r i Le 5,9", We et <br />e v.clo se'c,: Color elevc,{ -ictr- f Sc F lave / /%4 <br />;5 <br />8 i ,t-eh c,_r vn c, 5 wt w+er <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />j and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlinec <br />in the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica• <br />Lion expense. <br />A <br />(Signature at Applicayrt) <br />NI-BTE -- Jffice ;ANA RY-- C,amrner FINK —t=iie X30 1.0—Planner <br />'Date) <br />