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Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />PAID <br />N9 799 <br />Rec. No <br />Conditional Use Permit <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />.P--1 -6-irn 14\en(■�-6^, WeASZ^ <br />US W C LJ(reA s u b K �v \,rJFe-.,.), St-Pav i 6S/ /6 yo 62 %° <br />Applicant (Phone) <br />(Name) y, (Address) <br />jams gran 1 3c)° Ltt1� Ca. r.ala Qc c• (x5I /y7.� —�33° 1 <br />Owner (Phone) <br />(Name) (Address) <br />Property Location (Street Address and Legal Description): <br />5M Little_ CaviaL c)cJ • 1--0ts as ?3. 4, St Soho CCv ta✓.a-tker c,); -t-k ail <br />- t'hckt .nnr± r4- hz. SE /y aF Sect- S T <br />LJ 1v (ones OE t o-l-.2l„ art Jdhrs <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />1O inc-L-a I ra PCS u' irty <br />1j -Et5 ,ad rn r:aIs <br />;e"Lwean'Ke 1 IlV <br />S '/v -tAc- .S 11( e oFIif.y v <br />i <br />c i SUV 2- ; •1e Ca. l.aC)a LGaO <br />• <br />Ora6,nar,c 110. SIS�/ <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zor <br />ing and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outline <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 PINK -Pile <br />-±49. tasE - I Gq <br />(Date) <br />Page 31 nt) <br />Div <br />