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Applicant <br />Owner <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />(Name) <br />(Name) <br />I � / <br />l�q �c,C' T& <br />ft <br />?AID <br />Rec No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />(Address) <br />ri <br />5l <br />Property Location (Street Address and Legal Description): <br />17g <br />(Address) <br />°Ian Review <br />' cL/ <br />(Phone) <br />-�.r7/ <br />(Phone) <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />„o �c <br />//e cr,) per , � �� as <br />'n 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.,rfLrtner acknowledge the fee explanation as outlinec <br />In the aoptication orocedures and hereby agree to pay ail statements received from the C;ty pertaining to additional applica- <br />tion expense. <br />it <br />Page 1 <br />/HITS— Office CANARY — Customer ?INK —Pile GOLu <br />ti Date) <br />-*teat. 55i5 <br />