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Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment JJ <br />XZoning District Amendment 7-6, 1 itiL(JCz.@/ <br />Text Amendment <br />Other <br />I\T? 1000 <br />/ <br />PAID" c-o <br />Rec. No <br />Conditional Use Permit <br />Variance <br />SubdivisionC�� <br />Planned Unit Development <br />Plan Review <br />4pplicant St. John's Church 380 Little Canada Road <br />(Name) (Address) (Phone) <br />Dwner St. John's Church <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />450 Little Canada Road <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Combination of former Maryhouse property and the St. John's Cemetary property <br />into one parcel, and the rezoning of this property from Single- Family Residential.(R -1) <br />to Public (P). <br />in signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ing and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />1 the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />ion expense. <br />(Signatu(e of Applicant) <br />WHITE—Office CANARY— Customer PINK —File GOLD — Planner <br />//li <br />(Date) <br />.ame) <br />