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Little Canada, Minnesota <br />APPLICATION FORM <br />PAID <br />IN? <br />Rai' No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District. Amendment Variance <br />Text Amendment Subdivision <br />Otner O1anned Unit Development <br />'Ian Review <br />,.pplicant <br />Owner <br />1':-? UccS.“.c J T j.XL <br />(Name) -J — (Address) (Phone) <br />(Name) <br />4 ! Cc,: i] ( j)1,_,, <. <br />(Address) (Phone) <br />rcoperry Location (Street Address and Lagal Description): <br />'ascription and /or Reason for Request (Cite Ordinance Sections): <br />A4. Le. <br />�'. <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicants provisions of the Zan- <br />g ano Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlinec <br />the aoolication procedures and hereby agree to oav ail statements received from the City pertaining to additional aooiica- <br />don expense. <br />- ITc— Jftics CANARY—Customer ?INK —%-lie GOi- <br />Page 18 <br />Catef <br />