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x <br />Applicant <br />• <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Nn <br />PAID => <br />Rec. No. <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />OC° <br />Other Planned Unit Development <br />Plan Review <br />(Name) (Address) (Phone) <br />Owner L`�� !! it J C 7C j % r/ l r /1'1=/z' <br />(Name) (Address) (Phone) j 7:• 7517 1— <br />'7('957' <br />Property Location (Street Address and Legal Description): <br />lescription and /or Reason for Request (Cite Ordinance Sections): <br />lair <br />% /41),,-; -'.', % Nib` r 0A, J rt- /a't" %() C ,-;#4, <br />' 1 signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />g and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />in application procedures and hereby agree to pay all statements re, eived from the City pertaining to additional apply <br />tic <pense. <br />gnature r Ap 'cant) <br />-11TF— Of fice CANARY— Customer PINK —File GOLD — Planner <br />(Date) <br />