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Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment PM Q J _ <br />,pub <br />Other <br />?.A! D • <br />Rea <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />Applicant ! �!(�✓i�4,i16/-! /teener/ �n /7 1 / 1v' (�'v' �i �� f [t!( /a /4 {ri�S/L ! / -�% %5 C� 2c <br />(Nacre) EAddressi `Phone) <br />Owner <br />Saunter G-s <br />(Name) <br />bvNime-- <br />(Address) <br />(Phone) <br />Property Location (Street Address and Legal Description): <br />/ //''j/z /(/a /kr .J /r ctn- Lo* 2/ A /cc,� Z/ /Uct / �-rk a.Fto Lc�s / <br />7�Y:r1/ 4–_,2-3 c - s / /V. / { k.e.e it..1s �cc�crS C 7 <br />I/6 G/ frt <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />C G>7 c+c' vK l „It v 34�r �:: -� (FS <br />LCVS/7Gc- Z<- / <br />Urr /G,` <br />In signing this application, I hereby acknowledge mat I have read and wily un <br />in an <br />9 d Subdivision Ordinances and current administrative arocadures. I <br />In the application procedures and hereby agree to pay ail stateme <br />tion expense. <br />NH17t —Q' 17 b CANA We- 4:,;;camer <br />= INK — =:7a .aCl <br />Cc.v,,. 4-7 <br />and the applicable provisions of the Zor- <br />er acknowledge the fee explanation as outlined <br />eceived from the City ceraining -o additional appiica- <br />Page 38 <br />'GVVV;) <br />t - <br />Da -_— <br />