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Little Canada, Minnesota <br />APPLICATION FORM <br />N? /6c3 <br />PAID $1,eno <br />Rec. No. <br />Comprehensive Plan Amendment X Conditional Use Permit <br />Zoning District Amendment _ Variance <br />Text Amendment Subdivision <br />Other .._ Planned Unit Development <br />Plan Review <br />Applicant rv2.,1 C�hyy.w�av U ,'Jtss � .rS9(0P(j h one) G1L -72$ -16(�g c SAdd2e4s' s) (hame) 0 <br />Owner }};11cYesi- ()cJJailrhwf, LLLp 2.1-11 -4 l(<h.,erly Sit r. Ale Mtnhe•poksiJ'1NSS-03 612-371- 0123 <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description) <br />.3250 Sp✓ ce S{veeF }L;#1 Cq✓��q NA/ 15-117 1Lon5 k-c.3 s.. ✓�ty W /IC Rh� %n 4` ✓1<■lhjri <br />escription and-or Reason for Request (Cite Ordinance Sections) <br />Ct.1ns�rvk 4r‘ et 0e� e_ 4 IS e W1vt,ope. t,✓.delets co,) h A� Ttt I1) s 1L XJ�r <br />ro n C teh.S t. f y Wr <br />C'gv��i�L^lyv,�J�]el�el✓ ;v`5;k� r� i 4�S L usang OMti oe.. +he- Swh] <u 9h✓CC1. 1. rt.\ r W! ✓elu5 <br />cs;res pro.);gQ Up'�'�+'ln•+, t,1:fc1C15 {)leAmvn:v.iaA -5 Cot/Wale r.. �.:}'})e Cc„-IkY{ 4na� w(Ohn <br />i I f fi II J I, /' 4-key <br />tAhAta, S<..'rion `1°3. )`ID o� '� .. C ;i Co41— SCE (c / �e'r1'w'..1 -9Y cic.ANt(S, <br />signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zor <br />...a and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />, application procedures and hereby agree to pay all statements received from the City pertaining to additional apphca. <br />CJII expense. <br />A / n r <br />.OA.,K .'—"U t^M/ <br />(Signature of Applicant) " <br />I -o5 <br />(Date) <br />RITE— Office CANARY — Customer PINK —File 00 LD— Planner i <br />