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Th 1 <br />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 />4ltk•, Ii)erv(\e-tVv IJ,eASer. <br />Applicant c Uiv `— i Av,FC'L,N), St <br />(Name) (Address) <br />Owner J6uVV\e 6t a� J 1 <br />(Name) <br />360 L tt: }E CG np.is koo-a <br />(Address) <br />Property Location (Street Address and Legal Description): <br />Lit le_ (con pne Poc, . Y• <br />xLI 6 y)-6� iY <br />(Phone) <br />CSI L /Y3-6 (aL( 1 <br />(Phone) <br />1-0-Es ) Sz Johos C ty . -t-o&e:tker' J i %h all <br />that- ten. (-t-( -+ , Vz. S,t. of Sect- ;71, (:)q_) a ly;nJbe-twear`tke I^'! <br />tGr S la Crva5e• <br />l,J 1 Y { �i�e5 dr �- o- l --.��, `�t Jahr.s G�t7 . es.-�_ S 7y -Lo " h»« of l'� <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />!O I,n -L -all ( <br />FES <br />{-o cl l G* T oC :( -6.te <br />Car a PEW. " - <br />� S C � :fSS�C�,tz rr r aIS) oranna.rice 1\i o' CJSL/ <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 statements received from the City pertaining to additional applica- <br />tion expense. <br />WHITE— Office CANARY— Customer PINK —File GO <br />