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06/07/2004 13:40 6517664048 <br />CITY LITTLE CANADA <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other c6 <br />4 <br />Applicant S "uA nmUYI Assoc/C_S /fle <br />(Name) <br />- -._ _...: (Name) (Address) <br />Property Location (Street Address and Legal Description): <br />Owner <br />PAID <br />/D /$ <br />PAGE 02 <br />Rec No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />0733 Aa✓t 1120 / 4 1/Y/5 /flit/ <br />(Address) 55,',5 <br />- e1ottip <br />/l7 554-»S <br />gboD 2L std-, � nutecd &, AA/) <br />QoccQ ; (. f r Uzi I Iblto <br />/p/. 3 :52 30n <br />(Phone) <br />'/o 33&&) <br />(Phone) <br />1),a Sri <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />r <br />tuutd a--ee Phu 0 r?U n c i:o <br />n signing this application, I hereby acknowledge that <br />ng and Subdivision Ordinances and current administr . <br />n the application procedures and hereby agree to pay <br />ion expense, <br />MITE -otti CANARY—Customer PINT( —pile GOLD <br />I have read and fully understand the applicable provisions of the Zon- <br />ive procedures. I further acknowledge the fee explanation as outlined <br />all statemen rece ed from the City pertaining to additional applica- <br />gnature of Applicant) <br />nor <br />