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77 <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Applicant <br />Owner <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment /� Subdivision <br />Other Planned Unit Development <br />NI' 825 <br />PAID 7 pp a% <br />Rec. No <br />Conditional Use Permit <br />Variance <br />77 #VE2N IBC, <br />David ,,'ce /c <br />(Name) <br />(Name) <br />Plan Review <br />3S8S L ex1,45 to )1 Ave A <br />4rde>,, N'i /s, 411N. rr/a 6 (6/2J414 334.t <br />(Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />L oca fed o, Rice S7`reel. <br />Counfr, Drive,. <br />(Address) (Phone) <br />cC /0/0 VOX inn cr 71- <br />7,20 � Sout-k <br />o7 <br />or- I IILoc/c 1 wpre>z.w Olt ICS <br />2ND ADDITION RAti1.5EY COUNT% <br />M /LANES o 74 <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Reyu e571- C97,roVal or proposed ? /an 1-0 Cansf'ruc7` <br />.5- /1k 6ui 1/Ing5 Gvif-4 tAree cln * in each. Eac% A6ui /duty <br />Inc /udes 3 4.4n7745 "roe /our/ore o-e ole- Ices <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 outlined <br />the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. 4.74.2/571.4, /,e <br />v At/ al <br />WHITE— Office CANARY— Cueeomer PINK —File COL <br />Page 139 <br />6/Ll99 <br />(D�e1 <br />lint 1. ..n r-+ unn <br />