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c <br />Little Canada, Minnesota <br />APPLICATION FORM <br />N9 794 <br />PAID c49cc. <br />Rec. No <br />Comprehensive Plan Amendment Conditional Use Permit <br />Zoning District Amendment Variance <br />Text Amendment Subdivision <br />Other Planned Unit Development <br />Applicant <br />Owner <br />Plan Review <br />gazstilt; -k. geer-j�,'m; ,y <br />PPITT- ZiV 1; QCIMALnt �� . (t i F tni- -/ v, , <br />3 illw SSI!G <br />(Name) (A dress) (Phone) <br />Ina e- <br />(Name) <br />Property Location (Street Address and Legal Description): <br />(Address) (Phone) <br />\/atti 3 aovv(cztr, J `r-voW L ALvJ <br />Lel L descat p <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />4-1 LieCA(1V6— /tp f ro cP. irony e siAl4I,yA's, <br />.i ri Lake Pi we5 <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 />in the application procedures and hereby agree to pay all s tements received from the City pertaining to additional applica- <br />tion expense. //n <br />Page 104 9 <br />it) (D. e) <br />WHITE— Office CANARY — Customer PINK —File Guuu— rianner , 0 <br />