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Little Canada, Minnesota <br />APPLICATION FORM <br />NO <br />PAID G� <br />Rec. No. <br />Comprehensive Plan Amendment <br />Conditional Use Permit <br />Zoning District Amendment Ve riance <br />Tex- Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />applicant K -f a, Al>EL...r✓dq-00 zt J sAv46 <br />(Name) (Address) <br />(Name) . (Address) (Phone) <br />rooerty Location (Street Address and Legal Description): <br />ner <br />LA) Wi763)7g 9CC. <br />(Phone) <br />S I S S UPr6c . L t iTLL C A- A; Ali h vvi N SSr <br />r <br />(SiLL_C �r'1)z,y <br />f-f Q vv\ <br />:ription and /or Reason for Request (Cite Ordinance Sections): <br />L LLL. <br />-E e C usEm <br />SI <br />672AC CF Fri-, <br />I fG C. -.Ni4 <br />nina this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zan- <br />-. division Ordinances and current administrative procedures. further acknowledge the fee explanation as outlined <br />.)cation procedures ano hereby ogres to pay ail statements received from the City pertaining -o additional apoiice- <br />'1 xpense. <br />L. <br />i n,l \:L`- '• —"'�� <br />nature 011 cant) Date) <br />;co .e =IN —moils 3::1_1)- 31.'!nner <br />