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`; <br />Little Canada, Minnesota ?AID CZ3S-177 <br />APPLICATION FORM Rec No <br />Comprehensive Plan Amendment X Conditional Use Permit SC e <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />- Applicant bAUIk GLi4A1 &A / O2Cp4th L./4A) -�S /- X31 -3v <br />(Name)^ q IJQ /� ck`tdr ss),�1� a (Phone) <br />Owner i iCrt \ X. fi1uAiktJ �.�-.-'ao`fj DRC44R r 4itie D-oaS <br />(Name) (Address) (Phone) <br />W 5c 414 SS1 /6 <br />Property Location (Street Address and Legal Description): <br />191 Rit4A/ L4618 - Li r 7r 1/ -7 <br />Leeaity Ni A5 = <br />-A/ hus .L L P4 .< <br />Lo7Z, LK Ry7J <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />/1,1,L! cwAigte r>" ou,7S E 4uL rito(2)iLc; G� <br />rnl ! <br />T-7(J& I F KP `fir 407,- fiQ,Gtz,l(C Z:P4i C? ci_1R <br />in signing this aoptication, I herecv acxnowtedge that I have read and fully understana the aooiicaote 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 harem/ agree to pay ail statements received from the City pertaining to aeditionai applica- <br />tion expense. <br />:ANAFRV— C..atomar '!JK_ ;ue <br />Page 26 <br />ate: <br />