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Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />pplicantWge'MA-15 t tec"r/ riF• /fFc ctZ)tl <br />(Name) <br />N? 85' <br />PAID (1ono. Cri <br />Rec. No <br />Conditional Use Permit-- ^- <br />Variance <br />Subdivision <br />Planned Unit Deveg i,QIFtLIME CANADA <br />DEC 2 7 1999 <br />Plan Review <br />c2/l6 ,3""r r <br />(Address) <br />Ale* <br />owner r7d-it -/44.2•7- ) <br />(Name) (Address) <br />.. operty Location (Street Address and Legal Description): <br />r it;ZL. f- E3 FF5 S�F �-2C/ L�/-.v _L� .r/., • 301:; <br />t t o <br />461/27 S a• LC r//42 <br />(Phone) 2j7 /6/ <br />(Phone) <br />Shah) r: Ar-r <br />4 • <br />J <br />• ram _gezzu. r v/ 1 . a7 c 2/ T e,fr 4„ E. 1. s / 6 • <br />./ ah <br />ngscription and /or Reason for Request (Cite Ordinance Sections): <br />• 7-le YteA.i.; it g e4L4 /524-474" ' - /_ue.LP 1„ <br />tJ/*...1 04.4.1 ib.a • � ,, 6 rank.. A °'. <br />l -', is n..r. e 7./c� /-toctt i �a yll2 i �t ! et .. ate.re.L,,alca' . 27 n. c cc / C 4 " . <br />.*•c v -...sea ax ac ,. 14,„�r- tile% s.r-e e.+-ee et.e.t- ,,C.• Ja.rti -0 ;eo e�.l Av - AL4- 1I0-cA ._ a' <br />car. P_eaJ.f wa* v6 .a2tt.Y svec.. C�.r iu..r..'r 4.42. ✓u•,, - p,�e. <br />3 ,W b•u..� . ehe Y 1:14443 -- .44-16•44— 'e ao Oynall- �f »• �e • tie" Cr* <br />In signing this application,) hereby acknowledge that I have read and fully understand the applicable provisions of the Zorn <br />is 1 and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlines <br />I, the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. <br />Page 8 /07 97 <br />i &14 ( ate) <br />ITE— Office CANARY — Customer PINK —Pile GOLD— Planner <br />�.1 <br />