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Little Canada, Minnesota <br />APPLICATION FORM <br />PAID C ' <br />Rec. No._. ____. _ <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment SOO . _ Variance <br />9°° — <br />Text Amendment Ci .. Subdivision <br />PuC <br />_. _.._ Planned Unit Development <br />. Plan Review <br />Other <br />pplicant yN �i c.hn!<gtn 1612, b4i& Ce_t_±.6.62.egA 'aae itch <br />(Address) ,S,S-1 Phone) <br />(Name) <br />lwner atsn'st a__ . 3.0 Ci Z11 .5i'1 Shov -icw 6 Sr- VSY -Jgrt <br />(Name) (Address) 55126 (Phone) <br />roperty Location (Street Address and Legal Description): <br />'...0 ... .csis4.3o, v-Y 0 ritos ,1 't:c na . %, JAN <br />Description and /or Reason for Request (Cite Ordinance Sections): <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 />i the application procedures and hereby agree to pay all statements received from the City pertaining to additional appGca- <br />! in expense. <br />page 29 <br />N):011 r.7 i 1.4 7t4 21'4t7 "7 _. <br />