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• -t7 • N? <br />Little Canada, Minnesota PAID 057am <br />APPLICATION FORM 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 />,tom �/ r,� / L' /[� �j (f�j <br />Applicant 4/ti'/� LG% I� / "�/9 /�I a!G? ?O CC cac,ci i/' lX ! o/y'J <br />(Name) (Address) (Phone) <br />� r <br />Owner <br />(Name) <br />Property Location (Street Address and Legal Description): <br />(Address) (Phone) <br />31XX Spruce Street, Little Canada, SEE ATTACHED LEGAL <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />actet <br />At. <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ng and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />n the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />*' expense. <br />(Signature of Applicant) <br />WHITE—Office CANARY — Customer PINK —File GOLD — Fanner <br />9- -4/ - -(7 -- <br />(Date) <br />Diu <br />Z9 39t/d i6NtO 311121 11I9 9bB1299L1g9 Le :9T Z9971 l6Z /99 <br />