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..pplicant <br />Owner <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />(Name) <br />SO One GS CWOVe <br />(Name) <br />N? 1060 <br />PAID <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />// (Address) J (Phone) <br />-roperty Location (Street Address and Legal Description): <br />(Address) <br />?poi p. I) <J� /-20- <br />(Phone) <br />OK <br />E scrriiption and /or Reason <br />for Request (Cite.Ordinance Sections): <br />4c $..o/1! Sa <br />a 3 Z 3 ■ \� /)A <br />CII i <br />Rrb (i;% <br />i (Q el,'11 „rip a <br />Q re. c% r'I r;--1-1-, 721— (f'GUo <br />1 -igning this application, 1 hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />1 and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />1 - application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />or pense. <br />"E—Office CANARY — Customer PINK —Pile <br />-7 � / <br />/ / .1 <br />/1 <br />(Signatryre of Applicant) / <br />(Date) <br />