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Applicant <br />Owner <br />Little Canada, Minnesota <br />APPLICATION FORM <br />Comprehensive Plan Amendment <br />Zoning District Amendment <br />Text Amendment <br />Other <br />f ''gifTr- v CFPM -t-- <br />(Name) <br />Sa�e- <br />(Name) <br />N9 794 <br />PAID ;Hoc. <br />Rec. No <br />Conditional Use Permit <br />Variance <br />X Subdivision <br />Planned Unit Development <br />Plan Review <br />1225 u4 —k Eee r- /; ,Ay <br />(LE S 1 sit, reL mid //C <br />(A dress) (Phone) <br />Property Location (Street Address and Legal Description): <br />(Address) (Phone) <br />Vcitvs, , Q ovt>i2 irtJ 4-7( 1-10\6V Ler kc aLv/ <br />Le14L d €sc-tr,p ,4*Fnc4 ed <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />Pei LA&441)\16 -- ilp f rovz><,L. 0P f fl posed siAtt;y1siN0-1,, <br />1-1/11 ; >v Lake. ri ■ve5 <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. 7(/// <br />in A <br />Page 55 <br />WHITE— Office CANARY— Customer PINK —File GOLD—ream , <br />