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11/16/2005 10:58 FAX 6125474325 <br />11/16/2005 10:04 6517664048 <br />• n <br />1 <br />RBC DAIN RAUSCBER <br />CITY LITTLE CANADA <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendmont <br />Zoning District Amendment <br />X Text Amendment A3S—C_ <br />- -- Other <br />C13j 002 <br />PAGE 02 <br />PAID sa <br />Rec. No. <br />Conditional Use Permit Sew <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />Applicant i'wn 4/0,1 Ye- leiro ry 2c e. CO. +cn.: tSa 4`335— /G37} a6 /. —‘Qoo 7 <br />Owner Y1 V^ <br />(Name) <br />6-`57 (Address) (Phone) <br />(Name) ek YT l 'e P,/A)/1a 'rtQ<" :2 Tao - ,or L . <br />Property Location (Street Address and Legal Description): <br />(Address) <br />2 4 0 L et re. sko r� pei e etc,4 <br />a -1-e r <br />t ;*t'ie <br />(Phone) <br />3x739 <br />■escription and /or Reason for Request (Cite Ordinance Sections): <br />i,..ing this application, I hereby acknowledge that I have read and fully understand the a <br />and Subdivision Ordinances and current administrative nrocednros. 14urr. <br />n' appl Icarian procedures and hereby agree t0 pay all a °akt' °wl °dy ppi9 Tee axplanat'IOn astOUtzned <br />pense• P y me ts.rr • ved fro n the City pertaining to additional applica- <br />v <br />office — <br />CANARY .Customer PINK —rile GOLD . (Sign. re of • pplie -nt) <br />r honor <br />