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Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment Conditional Use Permit <br />N° 909 <br />PAID <br />Rec. No <br />4)S 00 <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant ...n # / /'lea <br />--(Name) <br />Owner - £ 2 Z.: e51i7.70,n4 <br />(Name) <br />Ors n,.,,,A •u% S),4 .1. t i !l✓ (63-a 694 -99/9 <br />(Address) sr/a, (Phone) <br />Sc., -rc as about, <br />Property Location (Street Address and Legal Description): <br />? ?So ,27s'G C sotC h0/2E /" ✓cam <br />Nesr.,,',OL n <br />(Address) (Phone) <br />Pet p ,pp.� X 7f x recv.Lir ' /8D <br />/4oJ E r7 <br />gi4."fr7 gfJ• -S .1 ee trid hrn <br />escription and /or Reason for Request (Cite Ordinance Sections): <br />APyPee< {r: M^ Cn.teiht o-/ <br />&L pz2m. >< <br />Sho /Oink /77, // aJ' ,Y^& <br />Ser/ <br />41G, 9rf 1, //o <br />t..411JG 2 <br />/0 ('I Cr n'74- <br />eft-CC 042 tin C<- tom, <br />Pc 74.,7 <br />' 1 signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ig and Subdivision Ordinances and current administrative procedures- I further acknowledge the fee explanation as outliner <br />in the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. <br />(MITE- Office CANARY - Customer MNK -File GOLD •une...._ <br />yA7 // <br />Page 1 It) (Date) <br />°e`1 <br />