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Little Canada, Minnesota <br />APPLICATION FORM <br />PAID 76D OD <br />Rec No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment )C Subdivision <br />Other Planned Unit Development <br />Plan Review <br />Applicant P1(CGtArEL Afi-ft .tMg'laC (97( (At. Kehwota 1 '17(0 -.Weil <br />(Name) (Address) (Phone) <br />1,UiwiA -v� 1caHr6 29'66 Laberi. £ad z /fq -6403 <br />(Phone) <br />Owner <br />(Name) (Address) <br />Property Location (Street Address and Legal Description): <br />2S* /a te )&nL -- see t' rf : d' Seim. <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />LlieuisFiw Aufr . Alp 414rce/ Z - ll .<� <br />c'ure. 101/Gc 4' ?eArifii <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ing and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlinec <br />in the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. <br />WHITE— Office CANARY — Customer PI K —File GOL[ <br />Page 37 <br />1)221 <br />(Date) <br />