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X <br />• <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other L '�`"G$ <br />Applicant /224 764 6GO °- <br />(Name) <br />Owner •'r27-i'z'c r PL.rri C"G <br />�Nr <br />(Name) <br />, ?JJ - 934 <br />PAID C /S7) 06 <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />6•VV2) 1• •<'_cc O <272i h) ,..5..<2.t..20 3 952--5Yy// <br />(Address) Zeig s <br />is LA:..; no Z, 0.5, /;V ,"-pc <br />ITLI.�(Lt. <br />(54- = a s <br />/'"t /V.-- 3 (Phone) <br />�Jr'1 <br />44i ad £) <br />Property Location (Street Address and Legal Description): <br />7% ` cscrK l ,/1'l441..k -t-r ?La a <br />(Address) <br />Ai <br />(Phone) <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />..5-cLi; w,s,o» 9,1 -L£ EX(37,,IL- I /11474 <br />'RL -,-e Z. ,J'" ad, n ..� <br />,SO G c_ C, Fn/ 0j 4 4 <br />/ A/ -de. X> e&sr <br />&ottyd e't pl-- <br />/Vete) S-Aly £ x to Sn'.t <br />i r <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 th^ application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tior .ense. <br />(Signature pplicant) <br />WHITE — Office CANARY— Customer PINK —File GOLD — Planner <br />,;•e0 L <br />(Date) <br />