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Little Canada, Minnesota <br />APPLICATION FORM <br />N? rrx--,,24 <br />PAID�C� <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit PAID <br />Zoning District Amendment Variance <br />Text Amendment <br />Other <br />JUN 21 1999 <br />Subdivision <br />Planned Unit Develc(jjlrOF LITTLE CANADA <br />Plan Review <br />Applicant i0N1J /(4flOCyUJ Enid AAA k) .7075- S% 4,7622-P6 7 <br />1 (Name) (Address) p\b�P�ho (Phone) <br />Owner \:l EC di (ry�"/icLYu/4% �/Z d ail 4 A� 3U7 S EE2 tdi✓ ST <br />U c�iCZ` — %J6 % <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />Ej) G,2rz; S T, L/ rrt & G /ttieho 4 ,mot,J. <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />!2C G) CC 5r �2 /6Qc) S' !c/'44 -- ,C./VT 44/t 49 <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />inn and Subdivision Ordinances and current administrative procedures. 1 further acknowledge the fee explanation as outlined <br />II e 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 PINK —File GOL <br />K)i a A� <br />Page 93 <br />(Date) <br />