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Little Canada, Minnesota <br />APPLICATION FORM <br />N12 9SY <br />PAID 70 <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other <br />Planned Unit Development <br />Plan Review <br />\pplicanreVaJL 'k e,v a it 34gt, Y•le.Mt.i1044 \-1 <br />(Name) (Address) <br />owner4lb sts M OitttacL ci4Ul., MCMutunt4 S* <br />(Name) (Address) <br />property Location (Street Address and Legal Description): <br />E4f—R, M�( t St G 4k9.. C naa.a, r n s5 i`1. , Lou rp;l, °i 41.1- <br />,,,, `651 / cr Ma* &i \h, Sov-lanWesr QuarLk( fa htAS Quar 4Y <br />Staton ,Toxmshlp 24 flm hf ax- t Z.Z. WtS—, i Rarnswt LOu0,,1,41,(111unntso ., <br />Uittinq 0-3kritit al Mein.i Wint,1 St 4, LtAtno, wth1- D-f S4- l tAAM .worts r(4kf 0� WGw <br />(DS I ' ZZta • -4.W Ia <br />(Phone) <br />(o51-ZZ (s. 414 <br />(Phone) <br />escription and /or Reason for Request (Cite Ordinance Sections): <br />W tsh artef(14 t)4�(A Lw-u, tr2s14Axviu 2-7'yq 6;?qq& <br />air fl ny St, . l icn9 i4 dal anatiniV4 4flxMly or) <br />5,401.81' wesr Sic/Ls Fins ap 4t in oitatu. a.l rt <br />/aiv4&L4 d I) /SGw-j G(nL. &u, hp-ripe/41z 6/ _Monte `J <br />2W& »?e iwrz y. 54. e mote. ,end/cular SE <br />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 />If' application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tic,,. expense. <br />4� / . '�L1e4ec-lL. `OV /U3- <br />(Signature'Qf p(icant) (Date) <br />alTE— Office CANARY — Customer PINK —File GOLD — Planner <br />