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Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment 5Ce <br />Text Amendment <br />Other <br />Applicant <br />N" 913 <br />PAID 062)C <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />E-fY t-IauN /LJNDl1 i=VLL2Lt 3c5 L /7TLc.c$NvWrl /c-1. LIS/3-`'t91. <br />(Name) (Address) (Phone) <br />)wner ERV louN(; -S/ Li oa FULLC>-\ ass Lunt- c'/9i;A0/I Rd. `-(S'3 -`79/3. <br />(Name) (Address) (Phone) <br />°roperty Location (Street Address and Legal Description): <br />!' <br />CJs ;� Z—, <br />Jescription and /or Reason for Request (Cite Ordinance Sections): <br />e5L7uz_d R6 <br />CC �ZcY <br />7G2-���- (%1---7L9 <br />' /l'LJG�ci <br />i 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 the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />on expense. <br />Page 7 <br />vJHITE— Office CANARY— Customer PINK —File GOLD — Planner <br />�c -3c -c/ <br />nt) (Date) <br />