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U8 %30 /2002 11:08 FAX 763 428 4665 DRYWALL SUPPLY INC 13_1004 <br />08/29/2002 10:12 6517664048 CITY LITTLE CANADA PAG5 02 <br />• <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />other <br />Applicant 4'1 -r f e -Ta be <br />(Na <br />Owner `- <br />ri_ <br />(Name) <br />141 940 <br />PAID 150 <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />5 N <br />(Address) (Phone) <br />To k nson 5:5* 9 (Zak -kr Sl c;el , /114 <br />1 <br />(Address) (Phone) <br />TYeI 763-- --5597 <br />Property Location (Street Address and Legal (Description): <br />312o3 Co an-fry Ur'1 i7c - <br />Description and /or Reason for Request (Cite Ordinance Sections); <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 />don expense. <br />WHITE—Office <br />CANARY — Customer <br />(Signature of Applicant) <br />PINK —Pile GOLD— PIonnP.r <br />(Date) <br />X 0 <br />