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Applicant <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />G <br />1055 <br />PAID <br />Rec. No <br />" Conditional Use Permit <br />torrri(e 7ei9/115 /M/6 &or (fit <br />(Name) (Address) <br />(Name) (Address) <br />Property Location (Street Address and Legal Description): <br />Owner Irate CZ1/< <br />`(f 1c)6e <br />S�. <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />(Phone) <br />6 n- V g4 -(?77 <br />(Phone) <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />L(//,‘?(- 9driye <br />• n signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ig and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />in the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />' ion expense. <br />(Signs <br />/HITE— Office CANARY— Customer PINK —File GOLD— Planner <br />(Date) <br />