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Little Canada, Minnesota <br />APPLICATION FORM <br />PAID ' <br />Rec. No, <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />_ 31.9 (0 /-7 <br />Applicant A")-171- 1110 P13 60S S.50 I„/esi eu{Jos -rty. .7)p SZ(o -CS <br />(Name) (Address) <br />(Phone) <br />Owner <br />(Name) <br />Property Location (Street Address and Legal Description): <br />(Address) (Phone) <br />a 3 EE.P 't ce S-fvegv Li \Fie ` i4tn4v f m rJ <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Rleyvcr dd,'maAt iv`/c4»c Sign ex\ tk SavT& , )edfrn 4.. <br />+C 6+)(If'nt dRdinM,cic. od4 R-i)k-di 4e aZ 644. x„194 <br />16� 1ne SRm „R-ve. -3 Sri`". eAc4 <br />AddieTion4 rex., am L Cr l` 7'? Pit <br />,5)'z <br />oz ¥J s - <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 />in the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. <br />ath <br />WHITE—Office (Signature of Applicant <br />Office CANARY. - Customer PINK —File GOLD— Planner <br />' a3 -o(f <br />(Date) <br />