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Little Canada, Minnesota <br />APPLICATION FORM <br />N? 9/8 <br />PAID 6 SO od <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit .:.)JL) <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />"applicant -DCiV C. G 1'n <br />(Name) <br />iwner <br />5Q v11 Q.. <br />s-I —Demc4I ,4cam..E Sec /- 0,403 <br />(Address) (Phone) <br />(Name) (Address) (Phone) <br />-roperty Location (Street Address and Legal Description): <br />i 7 rThQ viktat -E At m— -`X /e Cs /Qc/a, /1-64 S Y^/77 <br />E)( t . /56 E, l' /o Q5,, 3/ w 1, hoc .111 fF- <br />uescription and /or Reason for Request (Cite Ordinance Sections): <br />/'/ k 2 / Ske_d <br />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 />the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />Dn expense. <br />Page 1 <br />//1 <br />