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06/07/2004 13:40 6517664648 <br />CITY LITTLE CANADA <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other GO. <br />Applicant 50c—la—1 /he • <br />(Name) <br />Owner <br />(Name) <br />Property Location (Street Address and Legal Description); <br />07600 0-C2, Stijl i ' 1.1/14Cd A_ /J <br />(1Q L6 --f- f io.- 4) ct l U..tito C u �7 �22� � .5r , <br />• 6: <br />/D /ir <br />PAGE 02 <br />PAID SGY7 <br />Rec No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />073,7-) PaI/t 2-0 / '71/04,5HI4( <br />(Address) 551/5 <br />LL e_ - <br />(Address) <br />a5 )D ates/ <br />es,eGS <br />(P /) 332 : qi <br />(Phone) <br />4P /cZ 33� <br />(Phone) <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />ruLtd PW0 Zu*Ix <br />( <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 />an expense, <br />�HITr;�O {qee CANARY_Cuttortror PINK --Pile GOLD <br />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 apolica- <br />anature of Applicant) <br />Inner <br />- 1 - <br />T(1 <br />