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Applicant <br />Owner <br />Little Canada, Minnesota <br />APPLICATION FORM <br />PAID <br />N? 86f <br />Rec. No <br />Comprehensive Plan Amendment 5C, Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Sot 2 C ■\ &t, <br />(Name) <br />`aLrn racvC st.J. S''3- <br />(Address) <br />6St -4S a.-tSSo <br />(Phone) <br />(Name) <br />Property Location (Street Address and Legal Description): <br />a toacz —alo`• mac cs,„,..S t- <br />(Address) (Phone) <br />Description and /or Reason for Request (Cite Ordinance Sections ?: <br />ROrl , I e is 0 cw..ga_A- v.,..\ <br />W a nK I� `h...ts Lies, . m CI <br />\rSCt ,.csa s tv- w ¼J&; \O a * . <br />etc,,,,. " <br />tract- >s ra 4 - AJi!1 k n s-.. \-0-0-4A u* k ij js-s- `Z 2ttu. St <br />.s.1. <br />vws.A- <br />Va. <br />In signing this application, l hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ing and Subdivision Ordinances and current administrative procedures. 1 further acknowledge the fee explanation as outlined <br />in the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. <br />Page 100 <br />(Date) <br />